ANITA EKAMBARAM Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

CANCELLED

Business

First Name

ANITA

Last Name

EKAMBARAM

Business Name

ANITA EKAMBARAM

Original Issue Date

08/17/2000

Effective Date

08/17/2000

Expiration Date

07/31/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006