CHANDRA KANTH KATIKIREDDY 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

CHANDRA

Middle

KANTH

Last Name

KATIKIREDDY

Suffix

Business Name

CHANDRA KANTH KATIKIREDDY MD

Original Issue Date

06/28/2002

Effective Date

08/02/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014