PRASHANT JAGTAP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139333

License Status

ACTIVE

Business

Title

First Name

PRASHANT

Last Name

JAGTAP

Business Name

PRASHANT JAGTAP MD

Original Issue Date

11/03/2015

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

04/07/2025