VENKATA GANGADHAR TILAK KADA 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

VENKATA

Middle

GANGADHAR TILAK

Last Name

KADA

Business Name

VENKATA GANGADHAR TILAK KADA MD

Original Issue Date

12/01/2009

Effective Date

12/01/2009

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011