ROMY JOSE THEKKEKARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063494

License Status

CANCELLED

Business

Title

First Name

ROMY

Middle

JOSE

Last Name

THEKKEKARA

Business Name

ROMY JOSE THEKKEKARA MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014