JAYANTA K PAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035072

License Status

EXPIRED

Business

First Name

JAYANTA

Middle

Last Name

PAL

Business Name

JAYANTA K PAL

Original Issue Date

06/15/1996

Effective Date

06/15/1996

Expiration Date

06/30/2000

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006