SUMOL J NEDUMGOTTIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

SUMOL

Middle

Last Name

NEDUMGOTTIL

Suffix

Business Name

SUMOL J NEDUMGOTTIL MD

Original Issue Date

10/06/2004

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023