CHELSEA SUMIDA GIPSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

CHELSEA

Middle

SUMIDA

Last Name

GIPSON

Business Name

CHELSEA SUMIDA GIPSON DO

Original Issue Date

10/28/2022

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023