SUJAATA RATNA DWADASI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

SUJAATA

Middle

RATNA

Last Name

DWADASI

Business Name

SUJAATA RATNA DWADASI MD

Original Issue Date

03/09/2017

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WEST LAFAYETTE

State

Zip

47906

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/07/2026