JIMMY SUVATNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

JIMMY

Last Name

SUVATNE

Business Name

JIMMY SUVATNE MD

Original Issue Date

10/26/2022

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023