DEEPAK MITAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087116

License Status

ACTIVE

Business

First Name

DEEPAK

Last Name

MITAL

Suffix

Business Name

DEEPAK MITAL MD

Original Issue Date

08/09/1993

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/06/2023