OOMMEN KOSHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044970

License Status

NOT RENEWED

Business

Title

First Name

OOMMEN

Last Name

KOSHY

Business Name

OOMMEN KOSHY MD

Original Issue Date

10/19/1971

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021