SAUMYADIP SHOM DASGUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

SAUMYADIP

Middle

SHOM

Last Name

DASGUPTA

Business Name

SAUMYADIP SHOM DASGUPTA MD

Original Issue Date

09/22/2014

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023