JEEJY RAPHAEL KALATHIVEETIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062478

License Status

ACTIVE

Business

First Name

JEEJY RAPHAEL

Last Name

KALATHIVEETIL

Suffix

Business Name

JEEJY RAPHAEL KALATHIVEETIL MD

Original Issue Date

07/10/1981

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/12/2023