ANITHA RAJAMANICKAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

ANITHA

Last Name

RAJAMANICKAM

Suffix

Business Name

ANITHA RAJAMANICKAM MD

Original Issue Date

02/02/2005

Effective Date

08/04/2025

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2025