AVI MAZUMDAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

AVI

Last Name

MAZUMDAR

Suffix

Business Name

AVI MAZUMDAR MD

Original Issue Date

07/20/2005

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023