ANKUR DATTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128019

License Status

ACTIVE

Business

First Name

ANKUR

Last Name

DATTA

Suffix

Business Name

ANKUR DATTA MD

Original Issue Date

06/02/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/20/2023