SUNITA ANANTANENI DPM - Podiatrist License in Illinois | # 31*****41

SUNITA ANANTANENI DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

N

First Name

SUNITA

Last Name

ANANTANENI

Suffix

DPM

Business Name

SUNITA ANANTANENI DPM

Original Issue Date

09/12/2001

Effective Date

09/12/2001

Expiration Date

01/31/2007

State

IL

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

03/16/2007