RUPA BALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105391

License Status

NOT RENEWED

Business

First Name

RUPA

Last Name

BALA

Business Name

RUPA BALA

Original Issue Date

08/09/2001

Effective Date

08/09/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/04/2018