SANJIWAN SINGH BOPARAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

SANJIWAN

Middle

SINGH

Last Name

BOPARAI

Suffix

Business Name

SANJIWAN SINGH BOPARAI MD

Original Issue Date

11/12/2009

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014