OORMILA P KOVILAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

OORMILA

Middle

Last Name

KOVILAM

Suffix

Business Name

OORMILA P KOVILAM MD

Original Issue Date

03/30/2010

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

OMAHA NE

State

Zip

68154

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023