SRIDHAR JATLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117513

License Status

INACTIVE

Business

First Name

SRIDHAR

Last Name

JATLA

Suffix

Business Name

SRIDHAR JATLA MD

Original Issue Date

01/24/2007

Effective Date

01/24/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008