SANJAY S DESHPANDE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

CANCELLED

Business

First Name

SANJAY S

Last Name

DESHPANDE

Suffix

Business Name

SANJAY S DESHPANDE MD

Original Issue Date

02/22/2002

Effective Date

02/22/2002

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006