ADITYA SAMIR MAZMUDAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

ADITYA

Middle

SAMIR

Last Name

MAZMUDAR

Business Name

ADITYA SAMIR MAZMUDAR MD

Original Issue Date

02/07/2025

Effective Date

02/07/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/07/2025