ASHA K MALLESH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037270

License Status

EXPIRED

Business

First Name

ASHA

Middle

Last Name

MALLESH

Suffix

Business Name

ASHA K MALLESH MD

Original Issue Date

02/04/1998

Effective Date

02/04/1998

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006