ANTRA DAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081393

License Status

CANCELLED

Business

Title

First Name

ANTRA

Last Name

DAS

Business Name

ANTRA DAS MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2026