TEESTA BASU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030830

License Status

EXPIRED

Business

First Name

TEESTA

Last Name

BASU

Business Name

TEESTA BASU

Original Issue Date

04/11/1994

Effective Date

04/11/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006