AMMU THAMPI SUSHEELA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166183

License Status

ACTIVE

Business

Title

First Name

AMMU

Middle

THAMPI

Last Name

SUSHEELA

Business Name

AMMU THAMPI SUSHEELA MD

Original Issue Date

07/27/2023

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

Ever Disciplined

LastModifiedDate

07/21/2023