HARIS HAMSAKUTTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057277

License Status

CANCELLED

Business

Title

First Name

HARIS

Last Name

HAMSAKUTTY

Business Name

HARIS HAMSAKUTTY MD

Original Issue Date

01/20/2010

Effective Date

01/20/2010

Expiration Date

01/19/2013

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/02/2010