SHANMUGHAM BALAJI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032556

License Status

EXPIRED

Business

First Name

SHANMUGHAM

Last Name

BALAJI

Business Name

SHANMUGHAM BALAJI

Original Issue Date

05/17/1995

Effective Date

05/17/1995

Expiration Date

06/25/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006