DEEPA DUTTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

DEEPA

Last Name

DUTTA

Suffix

Business Name

DEEPA DUTTA MD

Original Issue Date

08/14/2006

Effective Date

08/14/2006

Expiration Date

07/31/2008

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008