THANKAPPA P BALAJI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

THANKAPPA P

Last Name

BALAJI

Business Name

THANKAPPA P BALAJI

Original Issue Date

03/24/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023