MARIAM MATHEW KAPPIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048984

License Status

EXPIRED

Business

First Name

MARIAM

Middle

MATHEW

Last Name

KAPPIL

Suffix

Business Name

MARIAM MATHEW KAPPIL MD

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

06/14/2006

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

09/22/2006