JYOTI B MOHANTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

JYOTI B

Last Name

MOHANTY

Suffix

Business Name

JYOTI B MOHANTY MD

Original Issue Date

05/14/1998

Effective Date

05/14/1998

Expiration Date

07/31/2008

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017