VENKATESAN R GORANTLA MD
Licensed Physician Controlled Substance
Illinois 336045712 Not Renewed
This Illinois license was held by VENKATESAN R GORANTLA MD. The license is no longer active. It was granted on 10/15/1991 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336045712
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 10/15/1991 (over 33 years ago)
- Expiry Date: 07/31/2005 (almost 20 years ago)
LOCATIONS
A Address
LIBERTY TOWNSHIP, OH 45011