ELNA BINU KOCHUMMEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055338

License Status

EXPIRED

Business

Title

First Name

ELNA

Middle

BINU

Last Name

KOCHUMMEN

Business Name

ELNA BINU KOCHUMMEN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

08/15/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/30/2011