SANJAY PENMETCHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

SANJAY

Last Name

PENMETCHA

Suffix

Business Name

SANJAY PENMETCHA MD

Original Issue Date

05/20/1998

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023