MIDHUN E AJIKUMAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

ACTIVE

Business

First Name

MIDHUN

Middle

Last Name

AJIKUMAR

Business Name

MIDHUN E AJIKUMAR

Original Issue Date

07/31/2024

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2026