SANJANA IYENGAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070032

License Status

EXPIRED

Business

Title

First Name

SANJANA

Last Name

IYENGAR

Business Name

SANJANA IYENGAR MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018