SIYA ANN NEDUMGOTTIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

SIYA

Middle

ANN

Last Name

NEDUMGOTTIL

Business Name

SIYA ANN NEDUMGOTTIL MD

Original Issue Date

11/27/2013

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023