ANTO V MALIAKKAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

ANTO V

Last Name

MALIAKKAL

Business Name

ANTO V MALIAKKAL

Original Issue Date

11/04/1991

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023