SRILATHA KANNAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

SRILATHA

Last Name

KANNAM

Suffix

Business Name

SRILATHA KANNAM MD

Original Issue Date

05/28/1998

Effective Date

05/28/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006