SHYAMSUNDER R CHAKILUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

SHYAMSUNDER

Middle

Last Name

CHAKILUM

Suffix

Business Name

SHYAMSUNDER R CHAKILUM MD

Original Issue Date

07/24/1996

Effective Date

07/24/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60652

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020