VENKATA SAMBA CHILAKAPATI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

CANCELLED

Business

First Name

VENKATA

Middle

SAMBA

Last Name

CHILAKAPATI

Suffix

Business Name

VENKATA SAMBA CHILAKAPATI MD

Original Issue Date

12/15/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROANOKE

State

Zip

24018

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2011