SUMAN ANNAMBHOTLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

SUMAN

Last Name

ANNAMBHOTLA

Business Name

SUMAN ANNAMBHOTLA MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014