SANJEEV DWIVEDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

SANJEEV

Last Name

DWIVEDI

Suffix

Business Name

SANJEEV DWIVEDI MD

Original Issue Date

08/15/2005

Effective Date

06/10/2010

Expiration Date

07/31/2011

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020