MALA MURTHY BALAKUMAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035494

License Status

EXPIRED

Business

First Name

MALA

Middle

MURTHY

Last Name

BALAKUMAR

Suffix

Business Name

MALA MURTHY BALAKUMAR MD

Original Issue Date

08/06/1996

Effective Date

08/06/1996

Expiration Date

08/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Colon & Rectal Surgery

Ever Disciplined

LastModifiedDate

09/22/2006