REKHA MOHAN PHATAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

CANCELLED

Business

First Name

REKHA MOHAN

Last Name

PHATAK

Suffix

Business Name

REKHA MOHAN PHATAK MD

Original Issue Date

09/18/1981

Effective Date

09/18/1981

Expiration Date

07/31/2005

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006