DEEPAK MITRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

DEEPAK

Last Name

MITRA

Suffix

Business Name

DEEPAK MITRA MD

Original Issue Date

12/01/2008

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023