MALEAKAL S MATHEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048227

License Status

NOT RENEWED

Business

First Name

MALEAKAL S

Last Name

MATHEW

Suffix

Business Name

MALEAKAL S MATHEW MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/2002

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006