DIWAKAR D BALACHANDRAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098505

License Status

NOT RENEWED

Business

First Name

DIWAKAR

Middle

Last Name

BALACHANDRAN

Suffix

Business Name

DIWAKAR D BALACHANDRAN MD

Original Issue Date

07/29/1998

Effective Date

07/29/1998

Expiration Date

07/31/2005

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006