SHARADA CHAITRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

SHARADA

Last Name

CHAITRA

Suffix

Business Name

SHARADA CHAITRA MD

Original Issue Date

08/06/1987

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020