JAY S BALACHANDRAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CANCELLED

Business

Title

First Name

JAY

Middle

Last Name

BALACHANDRAN

Business Name

JAY S BALACHANDRAN MD

Original Issue Date

04/05/2006

Effective Date

04/05/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017