SUMESH SURYAKANT JAIN 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

SUMESH

Middle

SURYAKANT

Last Name

JAIN

Business Name

SUMESH SURYAKANT JAIN MD

Original Issue Date

10/15/2013

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SHERMAN

State

Zip

62684

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023