SUMANA G KUMPUCKAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038804

License Status

EXPIRED

Business

First Name

SUMANA

Middle

Last Name

KUMPUCKAL

Business Name

SUMANA G KUMPUCKAL

Original Issue Date

08/10/1998

Effective Date

08/10/1998

Expiration Date

10/31/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pain Management

Ever Disciplined

LastModifiedDate

09/22/2006