SAMPATH KUMAR CHENNAMANENI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

MD

SAMPATH

KUMAR

CHENNAMANENI

SAMPATH KUMAR CHENNAMANENI MD

08/31/1989

05/21/2020

07/31/2023

DOWNERS GROVE

IL

60516

DUPAGE

II III IV V

N

11/30/2023