KEVIN THAYYIL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086847

License Status

ACTIVE

Business

Title

First Name

KEVIN

Last Name

THAYYIL

Business Name

KEVIN THAYYIL DO

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/24/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/15/2025