MERIAM KANIKUNNEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005940

License Status

ACTIVE

Business

First Name

MERIAM

Last Name

KANIKUNNEL

Business Name

MERIAM KANIKUNNEL

Original Issue Date

08/18/2016

Effective Date

03/04/2026

Expiration Date

03/01/2028

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/04/2026