MANI BALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

MANI

Last Name

BALA

Business Name

MANI BALA

Original Issue Date

01/01/1997

Effective Date

02/14/2008

Expiration Date

07/31/2008

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/11/2017