SUPARNA DUTTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132645

License Status

NOT RENEWED

Business

Title

First Name

SUPARNA

Last Name

DUTTA

Business Name

SUPARNA DUTTA MD

Original Issue Date

04/25/2013

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023