SAPAN JAYENDRA AMIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

SAPAN

Middle

JAYENDRA

Last Name

AMIN

Business Name

SAPAN JAYENDRA AMIN MD

Original Issue Date

07/16/2008

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021