SUMNA KURUVILLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021480

License Status

EXPIRED

Business

First Name

SUMNA

Last Name

KURUVILLA

Business Name

SUMNA KURUVILLA

Original Issue Date

06/27/1987

Effective Date

06/27/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006