LATHA BALAMUNISWAMY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027228

License Status

EXPIRED

Business

First Name

LATHA

Last Name

BALAMUNISWAMY

Suffix

Business Name

LATHA BALAMUNISWAMY MD

Original Issue Date

06/21/1991

Effective Date

06/21/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006