SANJAY PENMETCHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097423

License Status

ACTIVE

Business

First Name

SANJAY

Last Name

PENMETCHA

Suffix

Business Name

SANJAY PENMETCHA MD

Original Issue Date

03/13/1998

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/27/2023