DHANYA NARAYANA PANICKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064568

License Status

EXPIRED

Business

Title

First Name

DHANYA

Middle

NARAYANA

Last Name

PANICKER

Business Name

DHANYA NARAYANA PANICKER MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2017