MABLE E KALATHIVEETIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

MABLE E

Last Name

KALATHIVEETIL

Suffix

Business Name

MABLE E KALATHIVEETIL MD

Original Issue Date

04/16/1992

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011