IRSHAN A RAJPUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130908

License Status

NOT RENEWED

Business

Title

First Name

IRSHAN

Middle

Last Name

RAJPUT

Business Name

IRSHAN A RAJPUT MD

Original Issue Date

07/19/2012

Effective Date

07/19/2012

Expiration Date

07/31/2014

City

GROVETOWN

State

Zip

30813

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014