SHANTHA M MONIPPALLIL MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004722

License Status

CANCELLED

Business

Business Name

SHANTHA M MONIPPALLIL MD SC

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

01/01/1989

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/26/2006