GEORGE A MAMPILLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

GEORGE A

Last Name

MAMPILLY

Business Name

GEORGE A MAMPILLY

Original Issue Date

09/24/1993

Effective Date

09/24/1993

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60159

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006