JULIE A THUNDATHIL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032965

License Status

EXPIRED

Business

First Name

JULIE

Middle

Last Name

THUNDATHIL

Business Name

JULIE A THUNDATHIL

Original Issue Date

06/03/1995

Effective Date

06/03/1995

Expiration Date

09/10/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006