EVELYN B MADDELA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

EVELYN B

Last Name

MADDELA

Suffix

Business Name

EVELYN B MADDELA MD

Original Issue Date

01/24/1989

Effective Date

01/24/1989

Expiration Date

07/31/1990

City

WAUKEGAN

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017