KAMALA SUNDARI CHITTIVELU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

KAMALA

Middle

SUNDARI

Last Name

CHITTIVELU

Suffix

Business Name

KAMALA SUNDARI CHITTIVELU MD

Original Issue Date

04/15/2003

Effective Date

01/26/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2024