SANJAY PETHKAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

SANJAY

Last Name

PETHKAR

Business Name

SANJAY PETHKAR

Original Issue Date

07/25/1995

Effective Date

07/25/1995

Expiration Date

07/31/2005

City

JOLIET

State

Zip

60436

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020