MICHAEL RAJ SAMIKKANNU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RAJ

Last Name

SAMIKKANNU

Business Name

MICHAEL RAJ SAMIKKANNU MD

Original Issue Date

08/12/2013

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023