ANUPAMA SIVAKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

ANUPAMA

Last Name

SIVAKUMAR

Business Name

ANUPAMA SIVAKUMAR MD

Original Issue Date

08/04/2004

Effective Date

11/28/2012

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014