LOLICHANDRA KADIYALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

LOLICHANDRA

Last Name

KADIYALA

Business Name

LOLICHANDRA KADIYALA MD

Original Issue Date

04/05/2011

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023