DEEPA LAKSHMI KUMMATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

DEEPA

Middle

LAKSHMI

Last Name

KUMMATI

Suffix

Business Name

DEEPA LAKSHMI KUMMATI MD

Original Issue Date

09/04/2008

Effective Date

12/16/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020