SUMOULINDRA TITU BHATTACHARYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

SUMOULINDRA

Middle

TITU

Last Name

BHATTACHARYA

Suffix

Business Name

SUMOULINDRA TITU BHATTACHARYA MD

Original Issue Date

05/24/2005

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023