SANJAY PRADEEP KENI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045628

License Status

CANCELLED

Business

First Name

SANJAY

Middle

PRADEEP

Last Name

KENI

Suffix

Business Name

SANJAY PRADEEP KENI MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2008

City

PALOS HEIGHTS

State

Zip

60463

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006