ANUPAM BASU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046079

License Status

EXPIRED

Business

First Name

ANUPAM

Last Name

BASU

Suffix

Business Name

ANUPAM BASU MD

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

07/13/2008

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/31/2008