ANCY SARAH MOHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070298

License Status

CANCELLED

Business

Title

First Name

ANCY

Middle

SARAH

Last Name

MOHAN

Business Name

ANCY SARAH MOHAN MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/20/2017