LEENA T DEVARAJ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049790

License Status

NOT RENEWED

Business

First Name

LEENA T

Last Name

DEVARAJ

Suffix

Business Name

LEENA T DEVARAJ MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/01/1982

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

09/20/2006