PANKAJ JALAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055451

License Status

CANCELLED

Business

Title

First Name

PANKAJ

Last Name

JALAN

Business Name

PANKAJ JALAN MD

Original Issue Date

08/01/2011

Effective Date

08/01/2011

Expiration Date

07/31/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/27/2011