SUMERTH KUMAR PATHAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

SUMERTH

Middle

KUMAR

Last Name

PATHAK

Business Name

SUMERTH KUMAR PATHAK DO

Original Issue Date

07/24/2023

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

23838

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023