SAMPURNA MAN TULADHAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059671

License Status

EXPIRED

Business

First Name

SAMPURNA

Middle

MAN

Last Name

TULADHAR

Suffix

Business Name

SAMPURNA MAN TULADHAR MD

Original Issue Date

10/01/2013

Effective Date

10/01/2013

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Advanced Cardiothoracic Surgery

Ever Disciplined

LastModifiedDate

03/13/2015