VIKRAM SUDHAKAR KOTWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

VIKRAM

Middle

SUDHAKAR

Last Name

KOTWAL

Business Name

VIKRAM SUDHAKAR KOTWAL MD

Original Issue Date

06/15/2010

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023