SANJAY BOSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

SANJAY

Last Name

BOSE

Suffix

Business Name

SANJAY BOSE MD

Original Issue Date

04/23/1998

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42001

County

HARDIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023