ANSUYA AMIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049414

License Status

NOT RENEWED

Business

First Name

ANSUYA

Last Name

AMIN

Suffix

Business Name

ANSUYA AMIN MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

05/01/1978

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006