KAIZAN JEREER KALYANIWALLA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061205

License Status

EXPIRED

Business

Title

First Name

KAIZAN

Middle

JEREER

Last Name

KALYANIWALLA

Business Name

KAIZAN JEREER KALYANIWALLA DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/19/2017