DAVE CHAWLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048672

License Status

EXPIRED

Business

First Name

DAVE

Last Name

CHAWLA

Business Name

DAVE CHAWLA

Original Issue Date

07/17/2004

Effective Date

07/17/2004

Expiration Date

07/16/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006