JAISHANKAR JAGADEESAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093382

License Status

NOT RENEWED

Business

First Name

JAISHANKAR

Last Name

JAGADEESAN

Business Name

JAISHANKAR JAGADEESAN

Original Issue Date

07/05/1996

Effective Date

07/05/1996

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006