RONNIE RANJAN MANDAL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

RONNIE

Middle

RANJAN

Last Name

MANDAL

Suffix

Business Name

RONNIE RANJAN MANDAL DO

Original Issue Date

04/04/2023

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2023