MARIA JISNA KURUPPATH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079966

License Status

CANCELLED

Business

Title

First Name

MARIA

Middle

JISNA

Last Name

KURUPPATH

Business Name

MARIA JISNA KURUPPATH MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

12/10/2024