NIVEDITA MOHANTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118091

License Status

ACTIVE

Business

First Name

NIVEDITA

Last Name

MOHANTY

Suffix

Business Name

NIVEDITA MOHANTY MD

Original Issue Date

04/11/2007

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2023