SAMIR S BHAKTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146600

License Status

NOT RENEWED

Business

Title

First Name

SAMIR

Middle

Last Name

BHAKTA

Business Name

SAMIR S BHAKTA MD

Original Issue Date

06/27/2018

Effective Date

06/27/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021