MRUNAL S PANCHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019957

License Status

EXPIRED

Business

First Name

MRUNAL S

Last Name

PANCHAL

Suffix

Business Name

MRUNAL S PANCHAL MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006