DHANU JAY PANCHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056260

License Status

EXPIRED

Business

Title

First Name

DHANU

Middle

JAY

Last Name

PANCHAL

Business Name

DHANU JAY PANCHAL MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

08/29/2012