PARAG SURESH SAMPAT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111150

License Status

INACTIVE

Business

First Name

PARAG

Middle

SURESH

Last Name

SAMPAT

Suffix

Business Name

PARAG SURESH SAMPAT MD

Original Issue Date

04/05/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008