JAYASANKARI PONNUSAMY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

JAYASANKARI

Last Name

PONNUSAMY

Suffix

Business Name

JAYASANKARI PONNUSAMY MD

Original Issue Date

10/01/2007

Effective Date

10/01/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011