DEBALINA DE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068850

License Status

EXPIRED

Business

Title

First Name

DEBALINA

Last Name

Business Name

DEBALINA DE MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019