IPSITA PRADHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083704

License Status

ACTIVE

Business

Title

First Name

IPSITA

Last Name

PRADHAN

Business Name

IPSITA PRADHAN MD

Original Issue Date

06/22/2024

Effective Date

06/22/2024

Expiration Date

06/21/2027

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2024