ASHWATH JONATHAN SAMPATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169691

License Status

ACTIVE

Business

Title

First Name

ASHWATH

Middle

JONATHAN

Last Name

SAMPATH

Business Name

ASHWATH JONATHAN SAMPATH MD

Original Issue Date

04/05/2024

Effective Date

04/05/2024

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/14/2025