SUMITA SHANKAR BHATTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

SUMITA

Middle

SHANKAR

Last Name

BHATTA

Business Name

SUMITA SHANKAR BHATTA MD

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014