IRENE M THOMAS-THEVATHERIL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037357

License Status

EXPIRED

Business

First Name

IRENE

Middle

Last Name

THOMAS-THEVATHERIL

Business Name

IRENE M THOMAS-THEVATHERIL

Original Issue Date

04/24/1998

Effective Date

04/24/1998

Expiration Date

10/18/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006