KOCHUTHRESIA M NEDUMGOTTIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

KOCHUTHRESIA M

Last Name

NEDUMGOTTIL

Suffix

Business Name

KOCHUTHRESIA M NEDUMGOTTIL MD

Original Issue Date

01/01/1997

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020