SUNITHA SUKUMARAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

First Name

SUNITHA

Last Name

SUKUMARAN

Suffix

Business Name

SUNITHA SUKUMARAN MD

Original Issue Date

07/19/2005

Effective Date

07/19/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008