MADHUPA SUD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

MADHUPA

Last Name

SUD

Suffix

Business Name

MADHUPA SUD MD

Original Issue Date

10/14/1982

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023