SONIA SHAILESH GODAMBE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

SONIA

Middle

SHAILESH

Last Name

GODAMBE

Suffix

Business Name

SONIA SHAILESH GODAMBE MD

Original Issue Date

03/28/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023