SUSAN NITHYA SAMRETH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

NITHYA

Last Name

SAMRETH

Business Name

SUSAN NITHYA SAMRETH MD

Original Issue Date

06/18/2022

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023