JEFF BALAJI CHAPA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102295

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

BALAJI

Last Name

CHAPA

Suffix

Business Name

JEFF BALAJI CHAPA MD

Original Issue Date

04/07/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/28/2016