AJAY K DONTHAMSETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

AJAY K

Last Name

DONTHAMSETTI

Suffix

Business Name

AJAY K DONTHAMSETTI MD

Original Issue Date

11/13/2014

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023