SANJANA VENKAT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082269

License Status

CANCELLED

Business

Title

First Name

SANJANA

Last Name

VENKAT

Business Name

SANJANA VENKAT MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

06/22/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/24/2025