JEEJY RAPHAEL KALATHIVEETIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

JEEJY RAPHAEL

Last Name

KALATHIVEETIL

Suffix

Business Name

JEEJY RAPHAEL KALATHIVEETIL MD

Original Issue Date

11/19/1982

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023