SANJAY ASHOK PATWARDHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

SANJAY ASHOK

Last Name

PATWARDHAN

Suffix

Business Name

SANJAY ASHOK PATWARDHAN MD

Original Issue Date

07/07/1997

Effective Date

07/07/1997

Expiration Date

07/31/1999

City

HAZELCREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006