DEBADUTTA DASH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063511

License Status

CANCELLED

Business

First Name

DEBADUTTA

Last Name

DASH

Suffix

Business Name

DEBADUTTA DASH MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

04/30/2015