SANGEETA TINA MAHAJAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

SANGEETA

Middle

TINA

Last Name

MAHAJAN

Suffix

Business Name

SANGEETA TINA MAHAJAN MD

Original Issue Date

07/03/2002

Effective Date

07/03/2002

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006