CHINTHAGADA MARIADAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

CANCELLED

Business

Title

First Name

CHINTHAGADA

Last Name

MARIADAS

Business Name

CHINTHAGADA MARIADAS MD

Original Issue Date

01/01/1997

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011