NISHA SUMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060738

License Status

NOT RENEWED

Business

Title

First Name

NISHA

Last Name

SUMAN

Business Name

NISHA SUMAN MD

Original Issue Date

01/26/2012

Effective Date

01/26/2012

Expiration Date

01/25/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/12/2014