SRIDHAR SAMPATH KUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

SRIDHAR

Last Name

SAMPATH KUMAR

Business Name

SRIDHAR SAMPATH KUMAR MD

Original Issue Date

01/20/2022

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

80012

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023