SAMUEL ASHOK CHANDRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

ASHOK

Last Name

CHANDRA

Suffix

Business Name

SAMUEL ASHOK CHANDRA MD

Original Issue Date

09/15/2003

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63105

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023