SUMOL J NEDUMGOTTIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111129

License Status

ACTIVE

Business

First Name

SUMOL

Middle

Last Name

NEDUMGOTTIL

Suffix

Business Name

SUMOL J NEDUMGOTTIL MD

Original Issue Date

04/02/2004

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/13/2023