TIPU S PURI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039191

License Status

EXPIRED

Business

First Name

TIPU

Middle

Last Name

PURI

Business Name

TIPU S PURI

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

09/22/2006