SUMOULINDRA TITU BHATTACHARYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113512

License Status

ACTIVE

Business

First Name

SUMOULINDRA

Middle

TITU

Last Name

BHATTACHARYA

Suffix

Business Name

SUMOULINDRA TITU BHATTACHARYA MD

Original Issue Date

04/20/2005

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/18/2023