DEEPTHI S SAXENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111103

License Status

NOT RENEWED

Business

First Name

DEEPTHI

Middle

Last Name

SAXENA

Suffix

Business Name

DEEPTHI S SAXENA MD

Original Issue Date

03/26/2004

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

BAKERSFIELD

State

Zip

93311

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2018008379

Action

Suspension

Discipline Start Date

11/03/2018

Discipline End Date

11/14/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/15/2018.