JOSE ANTONY PULIKKAL PAUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130562

License Status

NOT RENEWED

Business

Title

First Name

JOSE ANTONY

Middle

PULIKKAL

Last Name

PAUL

Business Name

JOSE ANTONY PULIKKAL PAUL MD

Original Issue Date

06/14/2012

Effective Date

06/14/2012

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014