SWATI SHAH DATTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118057

License Status

ACTIVE

Business

First Name

SWATI

Middle

SHAH

Last Name

DATTA

Suffix

Business Name

SWATI SHAH DATTA DO

Original Issue Date

04/05/2007

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/13/2023