KANNAN MANICKAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101408

License Status

NOT RENEWED

Business

First Name

KANNAN

Last Name

MANICKAM

Business Name

KANNAN MANICKAM

Original Issue Date

10/04/1999

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017