REENA JIJU KAVILAVEETTIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041310

License Status

EXPIRED

Business

First Name

REENA

Middle

JIJU

Last Name

KAVILAVEETTIL

Suffix

Business Name

REENA JIJU KAVILAVEETTIL MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

07/05/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006