CHANDRA S KORITALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

CHANDRA S

Last Name

KORITALA

Suffix

Business Name

CHANDRA S KORITALA MD

Original Issue Date

02/16/1993

Effective Date

02/16/1993

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011