MONA R KANSAGRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066645

License Status

CANCELLED

Business

Title

First Name

MONA

Middle

Last Name

KANSAGRA

Business Name

MONA R KANSAGRA MD

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

06/29/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/20/2015