RUPA BALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037400

License Status

EXPIRED

Business

First Name

RUPA

Last Name

BALA

Business Name

RUPA BALA

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006