ANANYA GARGI GANGOPADHYAYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

ANANYA

Middle

GARGI

Last Name

GANGOPADHYAYA

Business Name

ANANYA GARGI GANGOPADHYAYA MD

Original Issue Date

06/02/2010

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023