SUMITA SHANKAR BHATTA MD - Medical Doctor License in Illinois | # 125054259

SUMITA SHANKAR BHATTA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054259

License Status

CANCELLED

Business

N

Title

MD

First Name

SUMITA

Middle

SHANKAR

Last Name

BHATTA

Business Name

SUMITA SHANKAR BHATTA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/13/2008