KIRAN REDDY KANCHARLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

First Name

KIRAN

Middle

REDDY

Last Name

KANCHARLA

Suffix

Business Name

KIRAN REDDY KANCHARLA MD

Original Issue Date

12/03/1997

Effective Date

12/03/1997

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006