SANJAY SUNDAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

SANJAY

Last Name

SUNDAR

Suffix

Business Name

SANJAY SUNDAR MD

Original Issue Date

11/10/2015

Effective Date

11/10/2015

Expiration Date

07/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020