ANTONY G SANKOORIKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

ANTONY G

Last Name

SANKOORIKAL

Suffix

Business Name

ANTONY G SANKOORIKAL MD

Original Issue Date

06/12/1992

Effective Date

06/12/1992

Expiration Date

07/31/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006