PRAVEEN BALLABH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033997

License Status

EXPIRED

Business

First Name

PRAVEEN

Last Name

BALLABH

Business Name

PRAVEEN BALLABH

Original Issue Date

02/14/1996

Effective Date

02/14/1996

Expiration Date

02/08/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006