HARIS HAMSAKUTTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

HARIS

Last Name

HAMSAKUTTY

Business Name

HARIS HAMSAKUTTY MD

Original Issue Date

03/24/2020

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023