GIJO G VETTIANKAL Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

INOPERATIVE

Business

First Name

GIJO G

Last Name

VETTIANKAL

Business Name

GIJO G VETTIANKAL

Original Issue Date

11/25/1991

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023