JOBBY JACOB MAMPILLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049601

License Status

EXPIRED

Business

First Name

JOBBY

Middle

JACOB

Last Name

MAMPILLY

Suffix

Business Name

JOBBY JACOB MAMPILLY MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/29/2010