JEFFERY JAMES EAPEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156882

License Status

ACTIVE

Business

Title

First Name

JEFFERY

Middle

JAMES

Last Name

EAPEN

Business Name

JEFFERY JAMES EAPEN MD

Original Issue Date

05/10/2021

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

05/08/2023