VAMSILATHA MADDALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

VAMSILATHA

Last Name

MADDALA

Business Name

VAMSILATHA MADDALA MD

Original Issue Date

07/06/2023

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

INVERNESS

State

Zip

60010

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023