GEORGE A MAMPILLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025890

License Status

EXPIRED

Business

First Name

GEORGE A

Last Name

MAMPILLY

Business Name

GEORGE A MAMPILLY

Original Issue Date

07/12/1990

Effective Date

07/12/1990

Expiration Date

07/08/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006