KARTIK KONDURI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

CANCELLED

Business

First Name

KARTIK

Last Name

KONDURI

Business Name

KARTIK KONDURI

Original Issue Date

07/24/1997

Effective Date

07/24/1997

Expiration Date

07/31/1999

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006