SUBHENDU B SINHAMAHAPATRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

SUBHENDU B

Last Name

SINHAMAHAPATRA

Suffix

Business Name

SUBHENDU B SINHAMAHAPATRA MD

Original Issue Date

08/15/1996

Effective Date

06/20/2008

Expiration Date

07/31/2011

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011