VENKATA S TAMMANA MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

ACTIVE

N

MD

VENKATA

S

TAMMANA

VENKATA S TAMMANA MD

09/28/2025

09/28/2025

07/31/2026

CARBONDALE

IL

62901

JACKSON

PRACTITIONER

II III IV V

N

09/28/2025