PADMAJA R GADDAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

PADMAJA

Middle

Last Name

GADDAM

Suffix

Business Name

PADMAJA R GADDAM MD

Original Issue Date

05/19/2011

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014