SANJAY MOHANTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133909

License Status

NOT RENEWED

Business

Title

First Name

SANJAY

Last Name

MOHANTY

Business Name

SANJAY MOHANTY MD

Original Issue Date

08/30/2013

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/01/2017