TINOY JOSE KIZHAKEKUTTU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

TINOY

Middle

JOSE

Last Name

KIZHAKEKUTTU

Suffix

Business Name

TINOY JOSE KIZHAKEKUTTU MD

Original Issue Date

02/25/2004

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023