BISHAN CHAKRAVARTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062175

License Status

CANCELLED

Business

Title

First Name

BISHAN

Last Name

CHAKRAVARTY

Business Name

BISHAN CHAKRAVARTY MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/15/2015