BABAK MICHAEL SERUSHAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070219

License Status

EXPIRED

Business

Title

First Name

BABAK

Middle

MICHAEL

Last Name

SERUSHAN

Business Name

BABAK MICHAEL SERUSHAN MD

Original Issue Date

06/28/2017

Effective Date

06/28/2017

Expiration Date

06/27/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020