RUPA MAITRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038035

License Status

EXPIRED

Business

First Name

RUPA

Last Name

MAITRA

Suffix

Business Name

RUPA MAITRA MD

Original Issue Date

06/26/1998

Effective Date

06/26/1998

Expiration Date

06/25/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006