CHANDRASEKHAR SOMPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

CHANDRASEKHAR

Last Name

SOMPALLI

Suffix

Business Name

CHANDRASEKHAR SOMPALLI MD

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

07/31/2005

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020