ANEESH KURUVILLA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068966

License Status

CANCELLED

Business

Title

First Name

ANEESH

Last Name

KURUVILLA

Prefix

Business Name

ANEESH KURUVILLA DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/01/2016