SURESH KUMAR KULANDHAISAMY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

SURESH KUMAR

Last Name

KULANDHAISAMY

Business Name

SURESH KUMAR KULANDHAISAMY MD

Original Issue Date

06/29/2020

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023