MICHAEL RAJ SAMIKKANNU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057873

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

RAJ

Last Name

SAMIKKANNU

Business Name

MICHAEL RAJ SAMIKKANNU MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2010