THALERNG BALACHANDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059758

License Status

NOT RENEWED

Business

First Name

THALERNG

Last Name

BALACHANDRA

Suffix

Business Name

THALERNG BALACHANDRA MD

Original Issue Date

11/09/1979

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2011