GEORGE THOMAS AMPALLOOR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

GEORGE

Middle

THOMAS

Last Name

AMPALLOOR

Business Name

GEORGE THOMAS AMPALLOOR

Original Issue Date

09/25/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023