MADHU SUDAN REDDY GORLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

MADHU

Middle

SUDAN REDDY

Last Name

GORLA

Business Name

MADHU SUDAN REDDY GORLA

Original Issue Date

10/18/2001

Effective Date

10/18/2001

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020