ENA MAHAPATRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113320

License Status

ACTIVE

Business

First Name

ENA

Last Name

MAHAPATRA

Suffix

Business Name

ENA MAHAPATRA MD

Original Issue Date

03/22/2005

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2023