SUDERSHAN D SAXENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042090

License Status

NOT RENEWED

Business

First Name

SUDERSHAN D

Last Name

SAXENA

Suffix

Business Name

SUDERSHAN D SAXENA MD

Original Issue Date

08/01/1968

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014