CHALAPATHIRAO V GUDIPATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

CHALAPATHIRAO V

Last Name

GUDIPATI

Suffix

Business Name

CHALAPATHIRAO V GUDIPATI MD

Original Issue Date

03/26/1985

Effective Date

03/26/1985

Expiration Date

07/31/1987

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006