TIPSUDA JUNSANTO-BAHRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031238

License Status

EXPIRED

Business

Title

First Name

TIPSUDA

Last Name

JUNSANTO-BAHRI

Business Name

TIPSUDA JUNSANTO-BAHRI MD

Original Issue Date

05/18/1994

Effective Date

05/18/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006