PALAK B WALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054953

License Status

EXPIRED

Business

Title

First Name

PALAK

Middle

Last Name

WALL

Business Name

PALAK B WALL MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009