SANJAY KUMAR NIGAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

SANJAY

Middle

KUMAR

Last Name

NIGAM

Suffix

Business Name

SANJAY KUMAR NIGAM MD

Original Issue Date

03/22/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023