SUPARNA BASU MD - Medical Doctor License in Illinois | # 036147481

SUPARNA BASU MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147481

License Status

ACTIVE

Business

N

Title

MD

First Name

SUPARNA

Last Name

BASU

Business Name

SUPARNA BASU MD

Original Issue Date

09/20/2018

Effective Date

06/01/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

11/09/2023