OORMILA P KOVILAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000112

License Status

EXPIRED

Business

First Name

OORMILA

Middle

Last Name

KOVILAM

Suffix

Business Name

OORMILA P KOVILAM MD

Original Issue Date

10/06/2000

Effective Date

10/06/2000

Expiration Date

04/05/2001

City

URBANA IL

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/23/2006