ARUN KUMAR KANTAMNENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

ARUN

Middle

KUMAR

Last Name

KANTAMNENI

Suffix

Business Name

ARUN KUMAR KANTAMNENI MD

Original Issue Date

10/06/2010

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020