AMITABHA MITRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

AMITABHA

Last Name

MITRA

Suffix

Business Name

AMITABHA MITRA MD

Original Issue Date

07/19/2005

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023