SANJIV UPADHYAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

SANJIV

Last Name

UPADHYAY

Suffix

Business Name

SANJIV UPADHYAY MD

Original Issue Date

07/13/2004

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023