HEMANTHA M SURATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

HEMANTHA M

Last Name

SURATH

Suffix

Business Name

HEMANTHA M SURATH MD

Original Issue Date

03/03/1982

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023