AJAYDAS THALAPPIL MANIKKAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124189

License Status

NOT RENEWED

Business

First Name

AJAYDAS

Middle

THALAPPIL

Last Name

MANIKKAN

Suffix

Business Name

AJAYDAS THALAPPIL MANIKKAN MD

Original Issue Date

08/06/2009

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023