GEORGE A MAMPILLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086066

License Status

NOT RENEWED

Business

First Name

GEORGE A

Last Name

MAMPILLY

Business Name

GEORGE A MAMPILLY

Original Issue Date

05/17/1993

Effective Date

05/17/1993

Expiration Date

07/31/1996

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006