MICHAEL SUNNY POULOSE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

SUNNY

Last Name

POULOSE

Business Name

MICHAEL SUNNY POULOSE DO

Original Issue Date

04/10/2025

Effective Date

04/10/2025

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2025