MANOJ MUKUND AGNY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042217

License Status

CANCELLED

Business

First Name

MANOJ

Middle

MUKUND

Last Name

AGNY

Suffix

Business Name

MANOJ MUKUND AGNY MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

02/10/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006