MERIAM KANIKUNNEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

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

CHICAGO

State

Zip

60612

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026