THURSTON KALLAS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076022

License Status

CANCELLED

Business

Title

First Name

THURSTON

Last Name

KALLAS

Business Name

THURSTON KALLAS DO

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/30/2020