CHINTAN SUREN SAMPAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046225

License Status

EXPIRED

Business

First Name

CHINTAN

Middle

SUREN

Last Name

SAMPAT

Suffix

Business Name

CHINTAN SUREN SAMPAT MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/26/2008