JACOB CHEMMALAKUZHY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103862

License Status

INACTIVE

Business

First Name

JACOB

Last Name

CHEMMALAKUZHY

Suffix

Business Name

JACOB CHEMMALAKUZHY MD

Original Issue Date

11/29/2000

Effective Date

11/29/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2010