License Directory

Poyanil M Mathew Md

Inactive

Illinois license 036058195

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036058195
Status
Inactive
First issued
November 27, 1978
Expired
July 31, 1987
License holder
Poyanil M Mathew Md
Entity type
Individual

Classifications

More from the license record

Current term began
11/27/1978

Contact

Chesterfield, MO 63017
Missouri County