COLIN W SUMIDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

COLIN W

Last Name

SUMIDA

Suffix

Business Name

COLIN W SUMIDA MD

Original Issue Date

05/25/1983

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023