ANAND PONNAPPAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

ANAND

Last Name

PONNAPPAN

Suffix

Business Name

ANAND PONNAPPAN MD

Original Issue Date

07/13/2009

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023