SYAM SUNDER CHILUKURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

SYAM

Middle

SUNDER

Last Name

CHILUKURI

Business Name

SYAM SUNDER CHILUKURI MD

Original Issue Date

03/19/2018

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

NEWBURGH

State

Zip

47630

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021