AJITH ROBERT SUSAI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

AJITH

Middle

ROBERT

Last Name

SUSAI

Business Name

AJITH ROBERT SUSAI DO

Original Issue Date

03/22/2024

Effective Date

03/22/2024

Expiration Date

07/31/2026

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2024