VARSHA DATTA SAMBARE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

VARSHA

Middle

DATTA

Last Name

SAMBARE

Suffix

Business Name

VARSHA DATTA SAMBARE MD

Original Issue Date

06/05/2000

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023