TAPENDU KUMAR BASU - Medical Doctor License in Maryland | # 036047635

TAPENDU KUMAR BASU

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047635

License Status

INACTIVE

Business

N

First Name

TAPENDU

Last Name

KUMAR BASU

Business Name

TAPENDU KUMAR BASU

Original Issue Date

08/17/1973

Effective Date

08/17/1973

Expiration Date

07/31/2002

State

MD

Ever Disciplined

N

LastModifiedDate

10/09/2006