SUMITA SHANKAR BHATTA MD - Medical Doctor License in Illinois | # 036128360

SUMITA SHANKAR BHATTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128360

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SUMITA

Middle

SHANKAR

Last Name

BHATTA

Business Name

SUMITA SHANKAR BHATTA MD

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014