ANSHUMAN DAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059555

License Status

CANCELLED

Business

Title

First Name

ANSHUMAN

Last Name

DAS

Business Name

ANSHUMAN DAS MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

VALPARAISO

State

Zip

46383

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014