SRUTHI PATIBANDLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

SRUTHI

Last Name

PATIBANDLA

Business Name

SRUTHI PATIBANDLA MD

Original Issue Date

05/27/2016

Effective Date

05/27/2016

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017