JOSEPH GEORGE MALIAKKAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000462

License Status

CANCELLED

Business

Title

First Name

JOSEPH

Middle

GEORGE

Last Name

MALIAKKAL

Business Name

JOSEPH GEORGE MALIAKKAL MD

Original Issue Date

04/01/2014

Effective Date

04/01/2014

Expiration Date

09/30/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/13/2015