JOSE T KUZHIVELY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137144

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

Last Name

KUZHIVELY

Business Name

JOSE T KUZHIVELY MD

Original Issue Date

01/22/2015

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

COOK

Ever Disciplined

LastModifiedDate

04/19/2023