NANDITA GUHA-THAKURTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

CANCELLED

Business

First Name

NANDITA

Last Name

GUHA-THAKURTA

Suffix

Business Name

NANDITA GUHA-THAKURTA MD

Original Issue Date

03/22/2005

Effective Date

03/22/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006