HARITHA BELLAM - Medical Doctor License in Illinois | # 125054007

HARITHA BELLAM

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054007

License Status

CANCELLED

Business

N

First Name

HARITHA

Last Name

BELLAM

Business Name

HARITHA BELLAM

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/20/2010