License Directory

Supriya Chakravarty Md

Expired

Illinois license 036054228

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036054228
Status
Expired (Not Renewed)
First issued
March 11, 1977
Expired
July 31, 1987
License holder
Supriya Chakravarty Md
Entity type
Individual

Classifications

More from the license record

Current term began
03/11/1977

Contact

Sylvania, OH 43560
Ohio County