MATANGI PRIYASRI BALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045753

License Status

EXPIRED

Business

First Name

MATANGI

Middle

PRIYASRI

Last Name

BALA

Suffix

Business Name

MATANGI PRIYASRI BALA MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2007

City

GLENDALE HEIGHTS

State

Zip

60139

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/03/2007