NEELA K SAMANTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048572

License Status

NOT RENEWED

Business

First Name

NEELA K

Last Name

SAMANTH

Suffix

Business Name

NEELA K SAMANTH MD

Original Issue Date

12/18/1973

Effective Date

12/18/1973

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006