PRINCY PATHALIL GEORGE MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

ACTIVE

N

MD

PRINCY

PATHALIL

GEORGE

PRINCY PATHALIL GEORGE MD

08/18/2023

08/18/2023

07/31/2026

OAK PARK

IL

60302

COOK

PRACTITIONER

II III IV V

N

02/24/2026