NISHITH BHATTACHARYYA Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

INOPERATIVE

Business

First Name

NISHITH

Last Name

BHATTACHARYYA

Business Name

NISHITH BHATTACHARYYA

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006