SANKET RAJARAM DHAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061279

License Status

EXPIRED

Business

Title

First Name

SANKET

Middle

RAJARAM

Last Name

DHAT

Business Name

SANKET RAJARAM DHAT MD

Original Issue Date

07/12/2015

Effective Date

07/12/2015

Expiration Date

07/11/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

08/16/2016