SHANMUGHAM BALAJI - Medical Doctor License in Illinois | # 125032556

SHANMUGHAM BALAJI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032556

License Status

EXPIRED

Business

N

First Name

SHANMUGHAM

Last Name

BALAJI

Business Name

SHANMUGHAM BALAJI

Original Issue Date

05/17/1995

Effective Date

05/17/1995

Expiration Date

06/25/1997

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006