MASSARAT A BALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029213

License Status

EXPIRED

Business

First Name

MASSARAT A

Last Name

BALA

Business Name

MASSARAT A BALA

Original Issue Date

03/04/1993

Effective Date

03/04/1993

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006