GAYATHRI SUNDARESAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

GAYATHRI

Last Name

SUNDARESAN

Suffix

Business Name

GAYATHRI SUNDARESAN MD

Original Issue Date

07/07/1994

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023