SREEJITH MOHAN VELLIYATTIKUZHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

SREEJITH

Middle

MOHAN

Last Name

VELLIYATTIKUZHI

Business Name

SREEJITH MOHAN VELLIYATTIKUZHI MD

Original Issue Date

01/23/2019

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023