SANJAY KUMAR NIGAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

SANJAY

Middle

KUMAR

Last Name

NIGAM

Suffix

Business Name

SANJAY KUMAR NIGAM MD

Original Issue Date

07/30/2002

Effective Date

07/30/2002

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020