REENA JIJU KAVILAVEETTIL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111468

License Status

INACTIVE

Business

First Name

REENA

Middle

JIJU

Last Name

KAVILAVEETTIL

Suffix

Business Name

REENA JIJU KAVILAVEETTIL MD

Original Issue Date

05/25/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

TAMPA

State

Zip

33647

Ever Disciplined

LastModifiedDate

05/06/2008