PENCHALA N SOMPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

PENCHALA N

Last Name

SOMPALLI

Suffix

Business Name

PENCHALA N SOMPALLI MD

Original Issue Date

01/01/1997

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011