SANDIP SURESH SONAWANE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058010

License Status

CANCELLED

Business

First Name

SANDIP

Middle

SURESH

Last Name

SONAWANE

Business Name

SANDIP SURESH SONAWANE

Original Issue Date

06/28/2010

Effective Date

06/28/2010

Expiration Date

06/27/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/26/2010