BENCY KURIAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049047

License Status

CANCELLED

Business

First Name

BENCY

Last Name

KURIAN

Suffix

Business Name

BENCY KURIAN MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

DOWNERS GROVE

State

Zip

60515

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006