PRASANNA C KUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

PRASANNA C

Last Name

KUMAR

Suffix

Business Name

PRASANNA C KUMAR MD

Original Issue Date

01/01/1997

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023