NICHOLAS BASANT PRADHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081621

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

BASANT

Last Name

PRADHAN

Business Name

NICHOLAS BASANT PRADHAN MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/01/2023