VASANTHA SAMALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112098

License Status

ACTIVE

Business

Title

First Name

VASANTHA

Last Name

SAMALA

Business Name

VASANTHA SAMALA MD

Original Issue Date

08/12/2004

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2025