SANTOSH K MOHANTY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

INACTIVE

Business

First Name

SANTOSH K

Last Name

MOHANTY

Suffix

Business Name

SANTOSH K MOHANTY MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006