SAMIR VASANT SEJPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

SAMIR

Middle

VASANT

Last Name

SEJPAL

Suffix

Business Name

SAMIR VASANT SEJPAL MD

Original Issue Date

08/06/2009

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020