PERVAIZ CHANNAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024409

License Status

EXPIRED

Business

First Name

PERVAIZ

Last Name

CHANNAH

Suffix

Business Name

PERVAIZ CHANNAH MD

Original Issue Date

07/07/1989

Effective Date

07/07/1989

Expiration Date

06/30/1992

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006