PRIYA KANSAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111543

License Status

NOT RENEWED

Business

First Name

PRIYA

Last Name

KANSAL

Business Name

PRIYA KANSAL

Original Issue Date

06/04/2004

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014