KOVILPARAMBIL X ANTONY MD - Medical Doctor License in Illinois | # 125024191

KOVILPARAMBIL X ANTONY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024191

License Status

EXPIRED

Business

N

First Name

KOVILPARAMBIL X

Last Name

ANTONY

Suffix

MD

Business Name

KOVILPARAMBIL X ANTONY MD

Original Issue Date

06/22/1989

Effective Date

06/22/1989

Expiration Date

06/24/1994

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006