SANJIV MAKHECHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

Title

First Name

SANJIV

Last Name

MAKHECHA

Business Name

SANJIV MAKHECHA MD

Original Issue Date

12/22/2017

Effective Date

12/22/2017

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021