CHINNAMMAL CHINNAPPAN KANDASWAMY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

CHINNAMMAL

Middle

CHINNAPPAN

Last Name

KANDASWAMY

Suffix

Business Name

CHINNAMMAL CHINNAPPAN KANDASWAMY MD

Original Issue Date

01/07/2004

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023