DEEPU SUDHAKARAN 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

DEEPU

Last Name

SUDHAKARAN

Business Name

DEEPU SUDHAKARAN MD

Original Issue Date

10/11/2022

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023