ANISHA ROSA PANICKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

ANISHA

Middle

ROSA

Last Name

PANICKER

Business Name

ANISHA ROSA PANICKER MD

Original Issue Date

08/07/2019

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023