SUSHMA SURAPANENI ANAND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

SUSHMA

Middle

SURAPANENI

Last Name

ANAND

Business Name

SUSHMA SURAPANENI ANAND DO

Original Issue Date

04/10/2013

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023