SHAKTHI DHARAN KUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

SHAKTHI

Middle

DHARAN

Last Name

KUMAR

Business Name

SHAKTHI DHARAN KUMAR MD

Original Issue Date

06/20/2012

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023