MATANGI PRIYASRI BALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121273

License Status

ACTIVE

Business

First Name

MATANGI

Middle

PRIYASRI

Last Name

BALA

Suffix

Business Name

MATANGI PRIYASRI BALA MD

Original Issue Date

06/25/2008

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/22/2023