SHAM M VENGURLEKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

SHAM M

Last Name

VENGURLEKAR

Suffix

Business Name

SHAM M VENGURLEKAR MD

Original Issue Date

10/25/1987

Effective Date

10/25/1987

Expiration Date

07/31/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017