SIBAJI SHOME MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019002

License Status

EXPIRED

Business

First Name

SIBAJI

Last Name

SHOME

Suffix

Business Name

SIBAJI SHOME MD

Original Issue Date

09/11/1985

Effective Date

09/11/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006