WICKII T VIGNESWARAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

WICKII T

Last Name

VIGNESWARAN

Business Name

WICKII T VIGNESWARAN

Original Issue Date

01/25/1994

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023