SANJAY PETHKAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

SANJAY

Last Name

PETHKAR

Business Name

SANJAY PETHKAR

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

07/31/2008

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020