SUNITHA SUKUMARAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112943

License Status

INACTIVE

Business

First Name

SUNITHA

Last Name

SUKUMARAN

Suffix

Business Name

SUNITHA SUKUMARAN MD

Original Issue Date

01/21/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NEW BERLIN

State

Zip

53151

Ever Disciplined

LastModifiedDate

04/17/2008