ANEESH KURUVILLA DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147209

License Status

INACTIVE

Business

Title

First Name

ANEESH

Last Name

KURUVILLA

Prefix

Business Name

ANEESH KURUVILLA DO

Original Issue Date

08/14/2018

Effective Date

08/14/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2020