ANUPAMA LAKSHMI ANANTH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

ANUPAMA

Middle

LAKSHMI

Last Name

ANANTH

Business Name

ANUPAMA LAKSHMI ANANTH DO

Original Issue Date

06/14/2012

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023