SYEDA SUMARA TARANUM BASITH MD - Medical Doctor License in Illinois | # 125071949

SYEDA SUMARA TARANUM BASITH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071949

License Status

EXPIRED

Business

N

Title

MD

First Name

SYEDA SUMARA TARANUM

Last Name

BASITH

Business Name

SYEDA SUMARA TARANUM BASITH MD

Original Issue Date

07/07/2018

Effective Date

07/07/2018

Expiration Date

07/06/2019

State

IL

Specialty/Qualifier

Pediatric Ophthalmology and Strabismus

Ever Disciplined

N

LastModifiedDate

10/02/2019