ANIL KUMAR CHANGARATH VIJAYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

ANIL

Middle

KUMAR

Last Name

CHANGARATH VIJAYAN

Suffix

Business Name

ANIL KUMAR CHANGARATH VIJAYAN MD

Original Issue Date

04/30/2024

Effective Date

04/30/2024

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026