RIYA BASU MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****37

NOT RENEWED

N

MD

RIYA

BASU

RIYA BASU MD

08/05/2019

06/02/2020

07/31/2023

CHICAGO

IL

60611

COOK

PRACTITIONER

II III IV V

N

11/30/2023