RONNIE RANJAN MANDAL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049560

License Status

CANCELLED

Business

First Name

RONNIE

Middle

RANJAN

Last Name

MANDAL

Suffix

Business Name

RONNIE RANJAN MANDAL DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

LINCOLNWOOD

State

Zip

60712

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006