SOMU SUPPIAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062749

License Status

EXPIRED

Business

First Name

SOMU

Last Name

SUPPIAH

Suffix

Business Name

SOMU SUPPIAH MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

03/13/2015