KOODATHUMMURYIL EAPPEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047865

License Status

NOT RENEWED

Business

Title

First Name

KOODATHUMMURYIL

Last Name

EAPPEN

Business Name

KOODATHUMMURYIL EAPPEN MD

Original Issue Date

08/23/1973

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

11/14/2011