JAYANT MALHOTRA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048314

License Status

INACTIVE

Business

First Name

JAYANT

Last Name

MALHOTRA

Business Name

JAYANT MALHOTRA

Original Issue Date

09/19/1973

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/28/2012