GEORGE KALLUVARAPARAMPIL MATHEW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

GEORGE

Middle

KALLUVARAPARAMPIL

Last Name

MATHEW

Business Name

GEORGE KALLUVARAPARAMPIL MATHEW

Original Issue Date

09/17/2007

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024