CHINNAMMA PUNNACKAPADAVIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

CHINNAMMA

Last Name

PUNNACKAPADAVIL

Suffix

Business Name

CHINNAMMA PUNNACKAPADAVIL MD

Original Issue Date

01/01/1997

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014