AMITABHA MITRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039384

License Status

EXPIRED

Business

First Name

AMITABHA

Last Name

MITRA

Suffix

Business Name

AMITABHA MITRA MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006