SUMITA SHANKAR BHATTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054259

License Status

CANCELLED

Business

Title

First Name

SUMITA

Middle

SHANKAR

Last Name

BHATTA

Business Name

SUMITA SHANKAR BHATTA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2008