SHASHIKALA AMENENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

SHASHIKALA

Last Name

AMENENI

Suffix

Business Name

SHASHIKALA AMENENI MD

Original Issue Date

06/12/2002

Effective Date

06/12/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/12/2017