SURAT SINASA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049842

License Status

NOT RENEWED

Business

First Name

SURAT

Last Name

SINASA

Suffix

Business Name

SURAT SINASA MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006