SUMITHA V PANICKER 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

SUMITHA

Middle

Last Name

PANICKER

Suffix

Business Name

SUMITHA V PANICKER MD

Original Issue Date

03/11/2008

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023