EMMANUEL ANTONY AMULRAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

EMMANUEL

Middle

ANTONY

Last Name

AMULRAJ

Suffix

Business Name

EMMANUEL ANTONY AMULRAJ MD

Original Issue Date

07/03/2007

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023