CHINTAN SUREN SAMPAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

CHINTAN

Middle

SUREN

Last Name

SAMPAT

Suffix

Business Name

CHINTAN SUREN SAMPAT MD

Original Issue Date

12/04/2008

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023