MICHAEL GEORGE NELLAMATTATHIL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155190

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

GEORGE

Last Name

NELLAMATTATHIL

Business Name

MICHAEL GEORGE NELLAMATTATHIL DO

Original Issue Date

01/04/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023