GHULAM M SURTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030786

License Status

EXPIRED

Business

First Name

GHULAM

Middle

Last Name

SURTI

Business Name

GHULAM M SURTI

Original Issue Date

12/03/1993

Effective Date

12/03/1993

Expiration Date

07/28/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006