PRATHEEK S KAKKASSERIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125828

License Status

NOT RENEWED

Business

Title

First Name

PRATHEEK

Middle

Last Name

KAKKASSERIL

Business Name

PRATHEEK S KAKKASSERIL MD

Original Issue Date

05/24/2010

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014