SUSHANT PURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071438

License Status

EXPIRED

Business

Title

First Name

SUSHANT

Last Name

PURI

Business Name

SUSHANT PURI MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/11/2022