SANJEEV DWIVEDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

SANJEEV

Last Name

DWIVEDI

Suffix

Business Name

SANJEEV DWIVEDI MD

Original Issue Date

04/12/2002

Effective Date

08/21/2008

Expiration Date

07/31/2011

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020