PRIYA D PERUMALSAMY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

PRIYA

Middle

Last Name

PERUMALSAMY

Business Name

PRIYA D PERUMALSAMY MD

Original Issue Date

07/16/2012

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

UPPER SADDLE RIVER

State

Zip

07458

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023