PONNAMBALAM SUNDRAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

PONNAMBALAM

Last Name

SUNDRAM

Suffix

Business Name

PONNAMBALAM SUNDRAM MD

Original Issue Date

10/24/1985

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023