SANJAY KUMAR NIGAM 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

SANJAY

Middle

KUMAR

Last Name

NIGAM

Suffix

Business Name

SANJAY KUMAR NIGAM MD

Original Issue Date

01/30/2004

Effective Date

01/30/2004

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020