SAMPATH KUMAR CHENNAMANENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070672

License Status

NOT RENEWED

Business

Title

First Name

SAMPATH

Middle

KUMAR

Last Name

CHENNAMANENI

Business Name

SAMPATH KUMAR CHENNAMANENI MD

Original Issue Date

06/03/1985

Effective Date

05/21/2020

Expiration Date

07/31/2023

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023