SANJAY P DALAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

SANJAY P

Last Name

DALAL

Suffix

Business Name

SANJAY P DALAL MD

Original Issue Date

01/17/1986

Effective Date

01/17/1986

Expiration Date

07/31/1990

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006