AJAY K BALARAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051809

License Status

CANCELLED

Business

First Name

AJAY

Middle

Last Name

BALARAM

Suffix

Business Name

AJAY K BALARAM MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006