SANJEEV DWIVEDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034029

License Status

CANCELLED

Business

First Name

SANJEEV

Last Name

DWIVEDI

Suffix

Business Name

SANJEEV DWIVEDI MD

Original Issue Date

04/10/1996

Effective Date

04/10/1996

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Child & Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006