SANJAY SAXENA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034062

License Status

EXPIRED

Business

First Name

SANJAY

Last Name

SAXENA

Business Name

SANJAY SAXENA

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

04/28/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006