CHITRA R NATALIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

CHITRA

Middle

Last Name

NATALIE

Suffix

Business Name

CHITRA R NATALIE MD

Original Issue Date

07/13/2011

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

MUSKEGO

State

Zip

53150

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014