ANITHA VIJAYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158173

License Status

ACTIVE

Business

Title

First Name

ANITHA

Last Name

VIJAYAN

Business Name

ANITHA VIJAYAN MD

Original Issue Date

08/30/2021

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

06/15/2023