AJAY K BALARAM MD - Medical Doctor License in Illinois | # 125051809

AJAY K BALARAM MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051809

License Status

CANCELLED

Business

N

First Name

AJAY

Middle

K

Last Name

BALARAM

Suffix

MD

Business Name

AJAY K BALARAM MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006