SANJEEV DWIVEDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

SANJEEV

Last Name

DWIVEDI

Suffix

Business Name

SANJEEV DWIVEDI MD

Original Issue Date

09/14/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023