VAMSILATHA MADDALA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****24

NOT RENEWED

N

MD

VAMSILATHA

MADDALA

VAMSILATHA MADDALA MD

07/17/2009

09/08/2020

07/31/2023

BARRINGTON

IL

60010

LAKE

PRACTITIONER

II III IV V

N

11/30/2023