MICHAEL GEORGE NELLAMATTATHIL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069219

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

GEORGE

Last Name

NELLAMATTATHIL

Business Name

MICHAEL GEORGE NELLAMATTATHIL DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

ARLINGTON

State

Zip

22201

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017