S CHANDRA MOULI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

Middle

CHANDRA

Last Name

MOULI

Suffix

Business Name

S CHANDRA MOULI MD

Original Issue Date

01/01/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LAKEFOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023