KALYANPUR SUNDER MOHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

CANCELLED

Business

First Name

KALYANPUR SUNDER

Last Name

MOHAN

Suffix

Business Name

KALYANPUR SUNDER MOHAN MD

Original Issue Date

01/01/1997

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

MC HENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014