SAJI OOMMEN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

INACTIVE

Business

First Name

SAJI

Last Name

OOMMEN

Business Name

SAJI OOMMEN

Original Issue Date

08/18/2017

Effective Date

08/18/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020