ASHIMA DATEY-CHAKRABARTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

ASHIMA

Last Name

DATEY-CHAKRABARTY

Business Name

ASHIMA DATEY-CHAKRABARTY MD

Original Issue Date

04/04/2022

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023