ELIZABETH HANNAH KUNJUMMEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

HANNAH

Last Name

KUNJUMMEN

Business Name

ELIZABETH HANNAH KUNJUMMEN DO

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024