SANJAY S JAIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094800

License Status

INACTIVE

Business

First Name

SANJAY S

Last Name

JAIN

Suffix

Business Name

SANJAY S JAIN MD

Original Issue Date

02/11/1997

Effective Date

02/11/1997

Expiration Date

07/31/2002

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006