SEAN DWIJENDRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072970

License Status

CANCELLED

Business

Title

First Name

SEAN

Last Name

DWIJENDRA

Business Name

SEAN DWIJENDRA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/22/2019