MANISH KUMAR DHAMIJA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048685

License Status

CANCELLED

Business

First Name

MANISH

Middle

KUMAR

Last Name

DHAMIJA

Suffix

Business Name

MANISH KUMAR DHAMIJA MD

Original Issue Date

07/02/2004

Effective Date

07/02/2004

Expiration Date

12/18/2007

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006