JANE ADDAGATLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

JANE

Last Name

ADDAGATLA

Suffix

Business Name

JANE ADDAGATLA MD

Original Issue Date

02/24/2000

Effective Date

02/24/2000

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006