ANITHA T ABRAHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

ANITHA

Middle

Last Name

ABRAHAM

Suffix

Business Name

ANITHA T ABRAHAM MD

Original Issue Date

07/22/2022

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023