PAVITTAR SINGH GREWAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060729

License Status

CANCELLED

Business

Title

First Name

PAVITTAR

Middle

SINGH

Last Name

GREWAL

Business Name

PAVITTAR SINGH GREWAL MD

Original Issue Date

11/07/2011

Effective Date

11/07/2011

Expiration Date

11/06/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/18/2011