SUSEELA MADHAVAREDDY PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

SUSEELA

Middle

MADHAVAREDDY

Last Name

PRASAD

Suffix

Business Name

SUSEELA MADHAVAREDDY PRASAD MD

Original Issue Date

01/01/1997

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020