VIVEK K MOITRA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111940

License Status

NOT RENEWED

Business

First Name

VIVEK

Middle

Last Name

MOITRA

Business Name

VIVEK K MOITRA

Original Issue Date

07/26/2004

Effective Date

07/26/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006