ANTONY VELIKAGATHOTE GEORGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

ANTONY

Middle

VELIKAGATHOTE

Last Name

GEORGE

Suffix

Business Name

ANTONY VELIKAGATHOTE GEORGE MD

Original Issue Date

03/03/2009

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014