CHANDY S ELLIMOOTTIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

CHANDY

Middle

Last Name

ELLIMOOTTIL

Business Name

CHANDY S ELLIMOOTTIL MD

Original Issue Date

05/28/2014

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017