RUPA CHENNAMANENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

RUPA

Last Name

CHENNAMANENI

Suffix

Business Name

RUPA CHENNAMANENI MD

Original Issue Date

05/26/1989

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023