RAJESH MURALI BALA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059156

License Status

CANCELLED

Business

Title

First Name

RAJESH

Middle

MURALI

Last Name

BALA

Business Name

RAJESH MURALI BALA DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/29/2011