VIDYASAGAR CHODIMELLA 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

VIDYASAGAR

Last Name

CHODIMELLA

Suffix

Business Name

VIDYASAGAR CHODIMELLA MD

Original Issue Date

10/01/1997

Effective Date

10/01/1997

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006