PAVIL THENAMKODATH CHERIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112114

License Status

ACTIVE

Business

First Name

PAVIL

Middle

THENAMKODATH

Last Name

CHERIAN

Suffix

Business Name

PAVIL THENAMKODATH CHERIAN MD

Original Issue Date

08/13/2004

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

06/23/2023