ANIRUDDHA DEKA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072571

License Status

EXPIRED

Business

Title

First Name

ANIRUDDHA

Last Name

DEKA

Business Name

ANIRUDDHA DEKA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/11/2022