SANJEEV KUMAR PRADHAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

SANJEEV

Middle

KUMAR

Last Name

PRADHAN

Business Name

SANJEEV KUMAR PRADHAN

Original Issue Date

04/18/2008

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2024