SUMUK SUNDARAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

SUMUK

Last Name

SUNDARAM

Business Name

SUMUK SUNDARAM

Original Issue Date

05/04/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023