DAVE CHAWLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114609

License Status

NOT RENEWED

Business

First Name

DAVE

Last Name

CHAWLA

Business Name

DAVE CHAWLA

Original Issue Date

09/15/2005

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

11/17/2014