KAMINI BHAKTA KALOLA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049859

License Status

EXPIRED

Business

First Name

KAMINI

Middle

BHAKTA

Last Name

KALOLA

Suffix

Business Name

KAMINI BHAKTA KALOLA DO

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/26/2008