KALYAN C LATCHAMSETTY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

KALYAN

Middle

Last Name

LATCHAMSETTY

Business Name

KALYAN C LATCHAMSETTY

Original Issue Date

06/28/2005

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023