LEEJOE K PALLICKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

LEEJOE

Middle

Last Name

PALLICKAL

Suffix

Business Name

LEEJOE K PALLICKAL MD

Original Issue Date

10/29/2009

Effective Date

10/29/2009

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011