SANJAY PENMETCHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033867

License Status

EXPIRED

Business

First Name

SANJAY

Last Name

PENMETCHA

Suffix

Business Name

SANJAY PENMETCHA MD

Original Issue Date

08/07/1995

Effective Date

08/07/1995

Expiration Date

08/06/1998

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006