SUMITHA V PANICKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049037

License Status

EXPIRED

Business

First Name

SUMITHA

Middle

Last Name

PANICKER

Suffix

Business Name

SUMITHA V PANICKER MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

BOLINGBROOK

State

Zip

60440

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008