DEENADAYAL GADDAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

DEENADAYAL

Last Name

GADDAM

Suffix

Business Name

DEENADAYAL GADDAM MD

Original Issue Date

04/29/1992

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021