ASHA SUSAN MUTHALALY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ASHA

Middle

SUSAN

Last Name

MUTHALALY

Business Name

ASHA SUSAN MUTHALALY MD

Original Issue Date

07/01/2009

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023