OORMILA P KOVILAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

OORMILA

Middle

Last Name

KOVILAM

Suffix

Business Name

OORMILA P KOVILAM MD

Original Issue Date

08/24/2016

Effective Date

09/16/2020

Expiration Date

07/31/2020

City

OMAHA NE

State

Zip

68154

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020