MONISHA DUTTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052206

License Status

EXPIRED

Business

First Name

MONISHA

Last Name

DUTTA

Suffix

Business Name

MONISHA DUTTA MD

Original Issue Date

12/22/2006

Effective Date

12/22/2006

Expiration Date

12/21/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

12/31/2008