TIPU S PURI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112280

License Status

ACTIVE

Business

First Name

TIPU

Middle

Last Name

PURI

Business Name

TIPU S PURI

Original Issue Date

09/07/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023