SUMANA G KUMPUCKAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110158

License Status

ACTIVE

Business

First Name

SUMANA

Middle

Last Name

KUMPUCKAL

Business Name

SUMANA G KUMPUCKAL

Original Issue Date

09/22/2003

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61834

Ever Disciplined

LastModifiedDate

05/25/2023