PARKER KELLY JAIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098712

License Status

ACTIVE

Business

First Name

PARKER

Middle

KELLY

Last Name

JAIN

Suffix

Business Name

PARKER KELLY JAIN DO

Original Issue Date

08/14/1998

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/11/2023