CIA MERIN PANICKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000874

License Status

EXPIRED

Business

Title

First Name

CIA

Middle

MERIN

Last Name

PANICKER

Business Name

CIA MERIN PANICKER MD

Original Issue Date

01/06/2020

Effective Date

01/06/2020

Expiration Date

07/05/2020

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Pediatric Palliative Care

Ever Disciplined

LastModifiedDate

11/19/2020