JULIANA AWISHA I KALLU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068631

License Status

NOT RENEWED

Business

First Name

JULIANA AWISHA I

Last Name

KALLU

Suffix

Business Name

JULIANA AWISHA I KALLU MD

Original Issue Date

05/11/1984

Effective Date

06/29/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021