KUMAR SIDDHARTH LAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

KUMAR

Middle

SIDDHARTH

Last Name

LAL

Business Name

KUMAR SIDDHARTH LAL MD

Original Issue Date

06/27/2020

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023