SANJAY P DALAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017050

License Status

EXPIRED

Business

First Name

SANJAY P

Last Name

DALAL

Suffix

Business Name

SANJAY P DALAL MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

06/22/1986

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006