RENUKA A BAJAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053197

License Status

ACTIVE

Business

First Name

RENUKA

Middle

Last Name

BAJAJ

Suffix

Business Name

RENUKA A BAJAJ MD

Original Issue Date

08/19/1976

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

04/08/2023

Case Number

2014000117

Action

Fine

Discipline Start Date

06/28/2019

Discipline Reason

for failure to disclose information on her DEA Renewal application.