MONICA ANIL LUKOSE 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

MONICA

Last Name

ANIL LUKOSE

Business Name

MONICA ANIL LUKOSE MD

Original Issue Date

12/16/2023

Effective Date

12/16/2023

Expiration Date

07/31/2026

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2023