PURBA BSIWAS - Medical Doctor License in Illinois | # 125032378

PURBA BSIWAS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032378

License Status

EXPIRED

Business

N

First Name

PURBA

Last Name

BSIWAS

Business Name

PURBA BSIWAS

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

10/23/1997

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006