SOUMYASRI KAMBHATLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152890

License Status

ACTIVE

Business

Title

First Name

SOUMYASRI

Last Name

KAMBHATLA

Business Name

SOUMYASRI KAMBHATLA MD

Original Issue Date

05/07/2020

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

10/03/2024