INDRANIL DEBNATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

INDRANIL

Last Name

DEBNATH

Business Name

INDRANIL DEBNATH MD

Original Issue Date

08/21/2012

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017