ANDREW B G KAIRALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

B G

Last Name

KAIRALLA

Suffix

Business Name

ANDREW B G KAIRALLA MD

Original Issue Date

01/26/2006

Effective Date

01/26/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017