SYEDA SUMARA TARANUM BASITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071949

License Status

EXPIRED

Business

Title

First Name

SYEDA SUMARA TARANUM

Last Name

BASITH

Business Name

SYEDA SUMARA TARANUM BASITH MD

Original Issue Date

07/07/2018

Effective Date

07/07/2018

Expiration Date

07/06/2019

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Pediatric Ophthalmology and Strabismus

Ever Disciplined

LastModifiedDate

10/02/2019