SANDEEP VENKATA PILLARISETTY 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

Title

First Name

SANDEEP

Middle

VENKATA

Last Name

PILLARISETTY

Business Name

SANDEEP VENKATA PILLARISETTY MD

Original Issue Date

04/03/2015

Effective Date

04/03/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017