SUMITA SHANKAR BHATTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128360

License Status

NOT RENEWED

Business

Title

First Name

SUMITA

Middle

SHANKAR

Last Name

BHATTA

Business Name

SUMITA SHANKAR BHATTA MD

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014