PURBA BSIWAS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032378

License Status

EXPIRED

Business

First Name

PURBA

Last Name

BSIWAS

Business Name

PURBA BSIWAS

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

10/23/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006