PETER J PUTHENVEETIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042089

License Status

EXPIRED

Business

First Name

PETER

Middle

Last Name

PUTHENVEETIL

Suffix

Business Name

PETER J PUTHENVEETIL MD

Original Issue Date

07/25/2000

Effective Date

07/25/2000

Expiration Date

07/24/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006