SAMIKSHA FOUZDAR JAIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071476

License Status

EXPIRED

Business

Title

First Name

SAMIKSHA

Last Name

FOUZDAR JAIN

Business Name

SAMIKSHA FOUZDAR JAIN MD

Original Issue Date

10/10/2017

Effective Date

10/10/2017

Expiration Date

10/09/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Ophthalmology

Ever Disciplined

LastModifiedDate

02/21/2019