SAMIR BANGALORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043970

License Status

EXPIRED

Business

First Name

SAMIR

Last Name

BANGALORE

Business Name

SAMIR BANGALORE

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006