MONA NATAPRAWIRA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055864

License Status

CANCELLED

Business

Title

First Name

MONA

Last Name

NATAPRAWIRA

Business Name

MONA NATAPRAWIRA DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

05/06/2009