PRINCY PATHALIL GEORGE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****18

NOT RENEWED

N

MD

PRINCY

PATHALIL

GEORGE

PRINCY PATHALIL GEORGE MD

07/30/2018

05/27/2021

07/31/2023

CHICAGO

IL

60637

COOK

PRACTITIONER

II III IV V

N

11/30/2023