MALA MURTHY BALAKUMAR MD - Medical Doctor License in Illinois | # 125035494

MALA MURTHY BALAKUMAR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035494

License Status

EXPIRED

Business

N

First Name

MALA

Middle

MURTHY

Last Name

BALAKUMAR

Suffix

MD

Business Name

MALA MURTHY BALAKUMAR MD

Original Issue Date

08/06/1996

Effective Date

08/06/1996

Expiration Date

08/01/1997

State

IL

Specialty/Qualifier

Colon & Rectal Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006