BETH A SUM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

BETH A

Last Name

SUM

Business Name

BETH A SUM

Original Issue Date

08/29/1996

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023