ISHANI RAY-DATTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

ISHANI

Last Name

RAY-DATTA

Business Name

ISHANI RAY-DATTA

Original Issue Date

05/21/1985

Effective Date

05/21/1985

Expiration Date

07/31/1990

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020