SAMRAT UMESH KHANNA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057705

License Status

CANCELLED

Business

Title

First Name

SAMRAT

Middle

UMESH

Last Name

KHANNA

Business Name

SAMRAT UMESH KHANNA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/21/2010