SRIRAM MAITRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103787

License Status

ACTIVE

Business

Title

First Name

SRIRAM

Last Name

MAITRA

Business Name

SRIRAM MAITRA MD

Original Issue Date

11/13/2000

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

Ever Disciplined

LastModifiedDate

04/23/2023