PANKAJ MANTAB JAIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038425

License Status

EXPIRED

Business

Title

First Name

PANKAJ

Middle

MANTAB

Last Name

JAIN

Business Name

PANKAJ MANTAB JAIN MD

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/15/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006