KRISHNA KUMAR K BALAKRISHNA MENON - Medical Doctor License in Illinois | # 125032251

KRISHNA KUMAR K BALAKRISHNA MENON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032251

License Status

EXPIRED

Business

N

First Name

KRISHNA KUMAR

Middle

K

Last Name

BALAKRISHNA MENON

Business Name

KRISHNA KUMAR K BALAKRISHNA MENON

Original Issue Date

07/22/1994

Effective Date

07/22/1994

Expiration Date

07/21/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006