SUPRIYA CHAKRAVARTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054228

License Status

NOT RENEWED

Business

First Name

SUPRIYA

Last Name

CHAKRAVARTY

Suffix

Business Name

SUPRIYA CHAKRAVARTY MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

07/31/1987

City

SYLVANIA

State

Zip

43560

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006