ELIZABETH JAMES PUTHENVEETIL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108059

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

JAMES

Last Name

PUTHENVEETIL

Business Name

ELIZABETH JAMES PUTHENVEETIL

Original Issue Date

10/23/2002

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

06/04/2023