SARAH DUTTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113555

License Status

ACTIVE

Business

First Name

SARAH

Last Name

DUTTA

Suffix

Business Name

SARAH DUTTA MD

Original Issue Date

04/25/2005

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/09/2023