ANIL KUMAR CHANGARATH VIJAYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

ANIL

Middle

KUMAR

Last Name

CHANGARATH VIJAYAN

Suffix

Business Name

ANIL KUMAR CHANGARATH VIJAYAN MD

Original Issue Date

05/04/2010

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020