VASANTHA SAMALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

VASANTHA

Last Name

SAMALA

Business Name

VASANTHA SAMALA MD

Original Issue Date

12/01/2004

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023