SAMIP C VASAIWALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115708

License Status

NOT RENEWED

Business

First Name

SAMIP

Middle

Last Name

VASAIWALA

Suffix

Business Name

SAMIP C VASAIWALA MD

Original Issue Date

04/14/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011