NAYANA UDAY PHATAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060828

License Status

ACTIVE

Business

First Name

NAYANA UDAY

Last Name

PHATAK

Suffix

Business Name

NAYANA UDAY PHATAK MD

Original Issue Date

08/29/1980

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

04/26/2023