SANJUKTA MITRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

SANJUKTA

Last Name

MITRA

Suffix

Business Name

SANJUKTA MITRA MD

Original Issue Date

10/06/1981

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023