VENKATA R JASTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027409

License Status

EXPIRED

Business

First Name

VENKATA R

Last Name

JASTY

Suffix

Business Name

VENKATA R JASTY MD

Original Issue Date

07/16/1991

Effective Date

07/16/1991

Expiration Date

07/14/1994

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006