ANCHAL SUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

ANCHAL

Last Name

SUD

Business Name

ANCHAL SUD MD

Original Issue Date

10/12/2017

Effective Date

10/12/2017

Expiration Date

09/30/2020

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021