SHIRLEY JOHN KAITHACKACHALIL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106718

License Status

INACTIVE

Business

First Name

SHIRLEY

Middle

JOHN

Last Name

KAITHACKACHALIL

Business Name

SHIRLEY JOHN KAITHACKACHALIL

Original Issue Date

04/05/2002

Effective Date

04/05/2002

Expiration Date

07/31/2005

City

DELMONT

State

Zip

15626

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006