SRINIVASU KUSUMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

SRINIVASU

Last Name

KUSUMA

Business Name

SRINIVASU KUSUMA MD

Original Issue Date

07/16/2014

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CALUMET CITY

State

Zip

60409

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023