MOHAN VENKATARATNA TADIKONDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

MOHAN

Middle

VENKATARATNA

Last Name

TADIKONDA

Suffix

Business Name

MOHAN VENKATARATNA TADIKONDA MD

Original Issue Date

12/17/2002

Effective Date

12/17/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006