MARIA JISNA KURUPPATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172705

License Status

ACTIVE

Business

Title

First Name

MARIA

Middle

JISNA

Last Name

KURUPPATH

Business Name

MARIA JISNA KURUPPATH MD

Original Issue Date

11/13/2024

Effective Date

11/13/2024

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/13/2024