SMITA MAHAPATRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061613

License Status

EXPIRED

Business

Title

First Name

SMITA

Last Name

MAHAPATRA

Business Name

SMITA MAHAPATRA MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015