JOBBY JACOB MAMPILLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

JOBBY

Middle

JACOB

Last Name

MAMPILLY

Suffix

Business Name

JOBBY JACOB MAMPILLY MD

Original Issue Date

04/08/2008

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023