SUPARNA BASU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147481

License Status

ACTIVE

Business

Title

First Name

SUPARNA

Last Name

BASU

Business Name

SUPARNA BASU MD

Original Issue Date

09/20/2018

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/09/2023