SAMIP C VASAIWALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046098

License Status

EXPIRED

Business

First Name

SAMIP

Middle

Last Name

VASAIWALA

Suffix

Business Name

SAMIP C VASAIWALA MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006