SANJAY S DESHPANDE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

CANCELLED

Business

First Name

SANJAY S

Last Name

DESHPANDE

Suffix

Business Name

SANJAY S DESHPANDE MD

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

07/31/2005

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006