ASHOKMATHEW THOMAS POOZHIKUNNEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070072

License Status

EXPIRED

Business

Title

First Name

ASHOKMATHEW

Middle

THOMAS

Last Name

POOZHIKUNNEL

Business Name

ASHOKMATHEW THOMAS POOZHIKUNNEL DO

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020