NANDINI REDDY KANDALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

NANDINI

Middle

REDDY

Last Name

KANDALA

Suffix

Business Name

NANDINI REDDY KANDALA MD

Original Issue Date

11/23/2004

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017