KOUSIKI PATRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116686

License Status

ACTIVE

Business

First Name

KOUSIKI

Last Name

PATRA

Suffix

Business Name

KOUSIKI PATRA MD

Original Issue Date

08/04/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023