PRABHJOT UPPAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049896

License Status

CANCELLED

Business

First Name

PRABHJOT

Last Name

UPPAL

Suffix

Business Name

PRABHJOT UPPAL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006

Case Number

2010000915

Action

Refuse To Renew

Discipline Start Date

02/18/2011

Discipline Reason

due to a criminal conviction for a 2010 felony conviction.