SUJAY DUTTA PAUDEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

SUJAY

Middle

DUTTA

Last Name

PAUDEL

Business Name

SUJAY DUTTA PAUDEL MD

Original Issue Date

05/29/2024

Effective Date

05/29/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024