SANJAY EARL PATRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000804

License Status

EXPIRED

Business

First Name

SANJAY

Middle

EARL

Last Name

PATRA

Suffix

Business Name

SANJAY EARL PATRA MD

Original Issue Date

08/01/2009

Effective Date

08/01/2009

Expiration Date

10/31/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

07/08/2009