SANJAY PETHKAR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030629

License Status

EXPIRED

Business

First Name

SANJAY

Last Name

PETHKAR

Business Name

SANJAY PETHKAR

Original Issue Date

07/12/1993

Effective Date

07/12/1993

Expiration Date

07/11/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006