MANAV I BHALLA MD - Medical Doctor License in Illinois | # 125063370

MANAV I BHALLA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063370

License Status

EXPIRED

Business

N

Title

MD

First Name

MANAV

Middle

I

Last Name

BHALLA

Business Name

MANAV I BHALLA MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

Vascular Interventional Radiology

Ever Disciplined

N

LastModifiedDate

03/13/2015