SANJAYA DHARMAPURI 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

Title

First Name

SANJAYA

Last Name

DHARMAPURI

Business Name

SANJAYA DHARMAPURI MD

Original Issue Date

06/25/2019

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60645

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023