AJAY CHANDRAKANT SAMPAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065246

License Status

EXPIRED

Business

Title

First Name

AJAY

Middle

CHANDRAKANT

Last Name

SAMPAT

Business Name

AJAY CHANDRAKANT SAMPAT MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

11/01/2017