BASAVARAJ K HARALENNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049518

License Status

NOT RENEWED

Business

First Name

BASAVARAJ K

Last Name

HARALENNE

Suffix

Business Name

BASAVARAJ K HARALENNE MD

Original Issue Date

08/28/1974

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017