SANJAY KUMAR SRIVASTAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049296

License Status

EXPIRED

Business

First Name

SANJAY

Middle

KUMAR

Last Name

SRIVASTAVA

Suffix

Business Name

SANJAY KUMAR SRIVASTAVA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006