MANAV I BHALLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063370

License Status

EXPIRED

Business

Title

First Name

MANAV

Middle

Last Name

BHALLA

Business Name

MANAV I BHALLA MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Vascular Interventional Radiology

Ever Disciplined

LastModifiedDate

03/13/2015