ANUPAM BASU MD - Medical Doctor License in Illinois | # 125046079

ANUPAM BASU MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046079

License Status

EXPIRED

Business

N

First Name

ANUPAM

Last Name

BASU

Suffix

MD

Business Name

ANUPAM BASU MD

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

07/13/2008

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

07/31/2008