SUBODH JAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129853

License Status

NOT RENEWED

Business

Title

First Name

SUBODH

Last Name

JAIN

Business Name

SUBODH JAIN MD

Original Issue Date

03/27/2012

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017