AUVEEK PAT BASU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049616

License Status

EXPIRED

Business

First Name

AUVEEK

Middle

PAT

Last Name

BASU

Suffix

Business Name

AUVEEK PAT BASU MD

Original Issue Date

06/23/2005

Effective Date

06/23/2005

Expiration Date

06/22/2006

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006