SANJUKTA MITRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

SANJUKTA

Last Name

MITRA

Suffix

Business Name

SANJUKTA MITRA MD

Original Issue Date

07/14/1987

Effective Date

07/14/1987

Expiration Date

07/31/1990

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020