SUMIT DUTTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****69

NOT RENEWED

N

SUMIT

DUTTA

MD

SUMIT DUTTA MD

01/10/1995

01/10/1995

07/31/1996

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006