VIJIL KOMANTHAKKAL RAHULAN MD Medical Doctor License verification

VIJIL KOMANTHAKKAL RAHULAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133855

License Status

NOT RENEWED

Business

Title

First Name

VIJIL

Middle

KOMANTHAKKAL

Last Name

RAHULAN

Business Name

VIJIL KOMANTHAKKAL RAHULAN MD

Original Issue Date

08/23/2013

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

GRANDVILLE

State

Zip

49418

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/17/2024

Case Number

2024002784

Action

Refuse To Renew

Discipline Start Date

07/07/2024

Discipline Reason

physician and surgeon license placed in refuse to renew status due to Respondent's medical license being revoked by the state of Kentucky in August 2023 du to a history of non-compliance with the statutes and regulation governing his practice and disciplinary action taken by the State of Missouri based on failure to report actions taken by the State of Missouri based on failure.