SUJATA C POISSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024347

License Status

EXPIRED

Business

First Name

SUJATA

Middle

Last Name

POISSON

Business Name

SUJATA C POISSON

Original Issue Date

07/01/1989

Effective Date

07/01/1989

Expiration Date

06/30/1990

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006