RATI KANTA DUTTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

RATI

Middle

KANTA

Last Name

DUTTA

Suffix

Business Name

RATI KANTA DUTTA MD

Original Issue Date

08/01/1991

Effective Date

08/01/1991

Expiration Date

07/31/1993

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006