BHASKAR CHANDU KOLLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

CANCELLED

Business

First Name

BHASKAR

Middle

CHANDU

Last Name

KOLLA

Suffix

Business Name

BHASKAR CHANDU KOLLA MD

Original Issue Date

08/07/2008

Effective Date

08/07/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011