JITHINRAJ EDAKKANAMBETH VARAYIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067838

License Status

EXPIRED

Business

Title

First Name

JITHINRAJ

Last Name

EDAKKANAMBETH VARAYIL

Business Name

JITHINRAJ EDAKKANAMBETH VARAYIL MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018