SUMNA KURUVILLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

SUMNA

Last Name

KURUVILLA

Business Name

SUMNA KURUVILLA

Original Issue Date

06/15/1989

Effective Date

06/15/1989

Expiration Date

07/31/1999

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006