JAY S BALACHANDRAN MD - Medical Doctor License in Illinois | # 125045610

JAY S BALACHANDRAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045610

License Status

EXPIRED

Business

N

Title

MD

First Name

JAY

Middle

S

Last Name

BALACHANDRAN

Business Name

JAY S BALACHANDRAN MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006