TAPENDU KUMAR BASU Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

CANCELLED

Business

First Name

TAPENDU

Last Name

KUMAR BASU

Business Name

TAPENDU KUMAR BASU

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006