MARIA EAPEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043880

License Status

EXPIRED

Business

First Name

MARIA

Last Name

EAPEN

Suffix

Business Name

MARIA EAPEN MD

Original Issue Date

04/04/2002

Effective Date

04/04/2002

Expiration Date

06/23/2005

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006