SUJATA SITAULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

SUJATA

Last Name

SITAULA

Business Name

SUJATA SITAULA MD

Original Issue Date

05/31/2019

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

OFALLON

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023