JOSE ANTONY PULIKKAL PAUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

JOSE ANTONY

Middle

PULIKKAL

Last Name

PAUL

Business Name

JOSE ANTONY PULIKKAL PAUL MD

Original Issue Date

06/14/2012

Effective Date

06/14/2012

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014