DARUSMAN L PANDIANGAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029056

License Status

EXPIRED

Business

First Name

DARUSMAN

Middle

Last Name

PANDIANGAN

Business Name

DARUSMAN L PANDIANGAN

Original Issue Date

07/21/1992

Effective Date

07/21/1992

Expiration Date

07/19/1995

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006