RAMASAMY SHANMUGAVELAYUTHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

RAMASAMY

Last Name

SHANMUGAVELAYUTHAM

Business Name

RAMASAMY SHANMUGAVELAYUTHAM MD

Original Issue Date

07/29/1981

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023