SAJI M PACKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110979

License Status

NOT RENEWED

Business

First Name

SAJI

Middle

Last Name

PACKAL

Suffix

Business Name

SAJI M PACKAL MD

Original Issue Date

03/10/2004

Effective Date

03/10/2004

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/02/2010