UTTAM TRIPATHY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

UTTAM

Last Name

TRIPATHY

Business Name

UTTAM TRIPATHY MD

Original Issue Date

02/26/2025

Effective Date

02/26/2025

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/26/2025