SURESH V BALENALLI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037085

License Status

EXPIRED

Business

First Name

SURESH

Middle

Last Name

BALENALLI

Business Name

SURESH V BALENALLI

Original Issue Date

07/09/1997

Effective Date

07/09/1997

Expiration Date

07/07/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006