MAMATA KHANAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065958

License Status

CANCELLED

Business

Title

First Name

MAMATA

Last Name

KHANAL

Business Name

MAMATA KHANAL MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

09/07/2017

City

BLUE ISLAND

State

Zip

60406

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/22/2017