PACHALLA K BHAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050865

License Status

NOT RENEWED

Business

First Name

PACHALLA K

Last Name

BHAT

Suffix

Business Name

PACHALLA K BHAT MD

Original Issue Date

03/21/1975

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021