POONAM GHANSHYAM MERAI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059487

License Status

CANCELLED

Business

First Name

POONAM

Middle

GHANSHYAM

Last Name

MERAI

Business Name

POONAM GHANSHYAM MERAI

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014