JITHINRAJ EDAKKANAMBETH VARAYIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147001

License Status

NOT RENEWED

Business

Title

First Name

JITHINRAJ

Last Name

EDAKKANAMBETH VARAYIL

Business Name

JITHINRAJ EDAKKANAMBETH VARAYIL MD

Original Issue Date

07/24/2018

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023