GEORGE A PUTHENPURACKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053977

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

Last Name

PUTHENPURACKAL

Suffix

Business Name

GEORGE A PUTHENPURACKAL MD

Original Issue Date

12/09/1976

Effective Date

12/09/1976

City

SAINT LOUIS

State

Zip

63146

Ever Disciplined

LastModifiedDate

09/20/2006