SANJAYA DHARMAPURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065061

License Status

CANCELLED

Business

Title

First Name

SANJAYA

Last Name

DHARMAPURI

Business Name

SANJAYA DHARMAPURI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Child and Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

06/01/2018