SANMIT KUMAR BASU MD - Medical Doctor License in Illinois | # 125050713

SANMIT KUMAR BASU MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050713

License Status

EXPIRED

Business

N

First Name

SANMIT

Middle

KUMAR

Last Name

BASU

Suffix

MD

Business Name

SANMIT KUMAR BASU MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

07/15/2009