VARUN SUNDARAM 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

Title

First Name

VARUN

Last Name

SUNDARAM

Business Name

VARUN SUNDARAM MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023