RUTU SUDHAKAR EZHUTHACHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

RUTU

Middle

SUDHAKAR

Last Name

EZHUTHACHAN

Business Name

RUTU SUDHAKAR EZHUTHACHAN MD

Original Issue Date

02/26/2024

Effective Date

02/26/2024

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/26/2024