PHILIP MATHEW POOTHAKALLIL - Respiratory Care Practitioner License in Illinois | # 194008021

PHILIP MATHEW POOTHAKALLIL

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008021

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Middle

MATHEW

Last Name

POOTHAKALLIL

Business Name

PHILIP MATHEW POOTHAKALLIL

Original Issue Date

10/13/2009

Effective Date

08/28/2013

Expiration Date

10/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2015