PAVANI CHALASANI MD - Medical Doctor License in Illinois | # 125048477

PAVANI CHALASANI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048477

License Status

CANCELLED

Business

N

First Name

PAVANI

Last Name

CHALASANI

Suffix

MD

Business Name

PAVANI CHALASANI MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006