BALAGOPAL K KERALAVARMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093741

License Status

NOT RENEWED

Business

First Name

BALAGOPAL K

Last Name

KERALAVARMA

Suffix

Business Name

BALAGOPAL K KERALAVARMA MD

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/2002

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006