NANDANA C BHAKTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

NANDANA C

Last Name

BHAKTA

Suffix

Business Name

NANDANA C BHAKTA MD

Original Issue Date

01/01/1997

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017