CHADD JOSEPH SUKUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

CHADD

Middle

JOSEPH

Last Name

SUKUT

Suffix

Business Name

CHADD JOSEPH SUKUT MD

Original Issue Date

04/28/2010

Effective Date

04/28/2010

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011