KUPUSAMY A UMAPATHY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

KUPUSAMY A

Last Name

UMAPATHY

Suffix

Business Name

KUPUSAMY A UMAPATHY MD

Original Issue Date

02/02/2021

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

MUNSTER

State

Zip

46321

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023