SMITA K JOBANPUTRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048417

License Status

EXPIRED

Business

First Name

SMITA

Middle

Last Name

JOBANPUTRA

Suffix

Business Name

SMITA K JOBANPUTRA MD

Original Issue Date

06/15/2004

Effective Date

06/15/2004

Expiration Date

06/14/2007

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/03/2007