RIYA BASU MD - Medical Doctor License in Illinois | # 125069230

RIYA BASU MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069230

License Status

CANCELLED

Business

N

Title

MD

First Name

RIYA

Last Name

BASU

Business Name

RIYA BASU MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

06/08/2016