NABAT JETHA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025576

License Status

EXPIRED

Business

First Name

NABAT

Last Name

JETHA

Business Name

NABAT JETHA

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/26/1993

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006