KRISHNA CHADALAVADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

KRISHNA

Last Name

CHADALAVADA

Suffix

Business Name

KRISHNA CHADALAVADA MD

Original Issue Date

08/04/1999

Effective Date

08/04/1999

Expiration Date

07/31/2002

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020