RANI SAMYUKTHA CHINTAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

RANI SAMYUKTHA

Last Name

CHINTAM

Suffix

Business Name

RANI SAMYUKTHA CHINTAM MD

Original Issue Date

01/01/1997

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017