TONY KURUVILLA PETER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071145

License Status

EXPIRED

Business

Title

First Name

TONY

Middle

KURUVILLA

Last Name

PETER

Business Name

TONY KURUVILLA PETER MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/11/2022