REGISTRATION NUMBER 34483 Name Dr. SAM. P.J. Father's Name P.L. JOSEPH Date of Birth 30-05-1981 Permanent Address KOWSTHUBHAM, S.N. ROAD, KOORKENCHERY, THRISSUR, KERALA. Qualification M.B.B.S. GAC}MLOR OF MEDICINE AND BACHELOR OF SURGERY) Year of award of Degree 200s Name of the Medical College GOVT. MEDICAL COLLEGE, THRISSUR. Name of the University CALICUT UNIVERSITY I hereby certify that Dr. SAM. P.J. has betn registered the Travancore-Cochin Medical Practitioners' Ac| as a practitioner in Modern Medicine under 1953 on the 28th day of September 2005 at Thiruvananthapuram. Thiruvananthapuram, Date: 23-02-2011. SL.No:9416 STRAR C.K.PADMAKARAN Registrar Ttavanccre-Coch rn Medical Councrls Red Cross Road lnformation 1. Change of address must be communicated to the Registrar. 2. Additional qualifications, if any, should be separately registered. Thirwananlhapuram 695035
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