THEODORE RALPH SUNDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

THEODORE RALPH

Last Name

SUNDER

Suffix

Business Name

THEODORE RALPH SUNDER MD

Original Issue Date

08/02/1994

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017