VENKATA SAMBA CHILAKAPATI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047269

License Status

EXPIRED

Business

First Name

VENKATA

Middle

SAMBA

Last Name

CHILAKAPATI

Suffix

Business Name

VENKATA SAMBA CHILAKAPATI MD

Original Issue Date

06/25/2004

Effective Date

06/25/2004

Expiration Date

06/24/2007

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/09/2010