PRIYANKHA BALASUNDARAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055402

License Status

EXPIRED

Business

Title

First Name

PRIYANKHA

Last Name

BALASUNDARAM

Business Name

PRIYANKHA BALASUNDARAM MD

Original Issue Date

06/30/2008

Effective Date

06/30/2008

Expiration Date

06/29/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/15/2009