NISHA PRABHA HAKHU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060018

License Status

CANCELLED

Business

Title

First Name

NISHA

Middle

PRABHA

Last Name

HAKHU

Business Name

NISHA PRABHA HAKHU DO

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

06/19/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014