MANI BALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046825

License Status

NOT RENEWED

Business

First Name

MANI

Last Name

BALA

Business Name

MANI BALA

Original Issue Date

02/07/1973

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017