VIDYA JAGANATH PUTHENVEETIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041885

License Status

EXPIRED

Business

First Name

VIDYA

Middle

JAGANATH

Last Name

PUTHENVEETIL

Suffix

Business Name

VIDYA JAGANATH PUTHENVEETIL MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006