SANDEEP MADHUSUDAN SHETH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

SANDEEP

Middle

MADHUSUDAN

Last Name

SHETH

Business Name

SANDEEP MADHUSUDAN SHETH MD

Original Issue Date

05/29/2018

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021