SHYAMSUNDER R CHAKILUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

SHYAMSUNDER

Middle

Last Name

CHAKILUM

Suffix

Business Name

SHYAMSUNDER R CHAKILUM MD

Original Issue Date

03/04/1993

Effective Date

03/04/1993

Expiration Date

07/31/2005

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020