MANASA JASTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177271

License Status

ACTIVE

Business

Title

First Name

MANASA

Last Name

JASTI

Business Name

MANASA JASTI MD

Original Issue Date

09/23/2025

Effective Date

09/23/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

09/23/2025