PRIYA SHIRISH BHAKTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153552

License Status

ACTIVE

Business

Title

First Name

PRIYA

Middle

SHIRISH

Last Name

BHAKTA

Business Name

PRIYA SHIRISH BHAKTA MD

Original Issue Date

07/01/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

04/06/2023