VENKATA RAVINDRA KAKARLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

VENKATA

Middle

RAVINDRA

Last Name

KAKARLA

Suffix

Business Name

VENKATA RAVINDRA KAKARLA MD

Original Issue Date

08/28/2012

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

NEW LENOX

State

Zip

60451

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023