SMITHA R CHADAGA 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

SMITHA

Middle

Last Name

CHADAGA

Suffix

Business Name

SMITHA R CHADAGA MD

Original Issue Date

08/20/2004

Effective Date

08/20/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011