NARAYAN S TATA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

NARAYAN

Middle

Last Name

TATA

Suffix

Business Name

NARAYAN S TATA MD

Original Issue Date

06/14/2002

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023