PRIYANKA JAYAWANT KAWALI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068856

License Status

EXPIRED

Business

Title

First Name

PRIYANKA

Middle

JAYAWANT

Last Name

KAWALI

Business Name

PRIYANKA JAYAWANT KAWALI MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2019