THANKAPPA P BALAJI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033098

License Status

CANCELLED

Business

First Name

THANKAPPA P

Last Name

BALAJI

Business Name

THANKAPPA P BALAJI

Original Issue Date

06/07/1995

Effective Date

06/07/1995

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006