NIVEDITA MOHANTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047726

License Status

CANCELLED

Business

First Name

NIVEDITA

Last Name

MOHANTY

Suffix

Business Name

NIVEDITA MOHANTY MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60642

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006