LENNEY GEORGE KIZHAKEPUNNUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130345

License Status

ACTIVE

Business

Title

First Name

LENNEY

Middle

GEORGE

Last Name

KIZHAKEPUNNUR

Business Name

LENNEY GEORGE KIZHAKEPUNNUR MD

Original Issue Date

05/11/2012

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2023