SHIRIN ASHLEHA MAZUMDER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049079

License Status

EXPIRED

Business

First Name

SHIRIN

Middle

ASHLEHA

Last Name

MAZUMDER

Suffix

Business Name

SHIRIN ASHLEHA MAZUMDER MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/31/2008