SUKDEB DATTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035491

License Status

EXPIRED

Business

First Name

SUKDEB

Last Name

DATTA

Suffix

Business Name

SUKDEB DATTA MD

Original Issue Date

08/03/1996

Effective Date

08/03/1996

Expiration Date

07/29/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2009