SANJAY PETHKAR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

SANJAY

Last Name

PETHKAR

Business Name

SANJAY PETHKAR

Original Issue Date

12/04/2007

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023