AEKTA KAUSHIK MANJUNATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

AEKTA

Middle

KAUSHIK

Last Name

MANJUNATH

Business Name

AEKTA KAUSHIK MANJUNATH MD

Original Issue Date

03/13/2019

Effective Date

08/06/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023