SUJATHA KAILAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

SUJATHA

Last Name

KAILAS

Business Name

SUJATHA KAILAS MD

Original Issue Date

11/20/2013

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

FOND DU LAC

State

Zip

54937

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023