SIVARAJA K KUPPUSWAMI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

SIVARAJA

Middle

Last Name

KUPPUSWAMI

Business Name

SIVARAJA K KUPPUSWAMI

Original Issue Date

01/11/2007

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023