NAYANA UDAY PHATAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

NAYANA UDAY

Last Name

PHATAK

Suffix

Business Name

NAYANA UDAY PHATAK MD

Original Issue Date

07/27/1983

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023