JAISHANKAR JAGADEESAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031933

License Status

EXPIRED

Business

First Name

JAISHANKAR

Last Name

JAGADEESAN

Business Name

JAISHANKAR JAGADEESAN

Original Issue Date

06/23/1994

Effective Date

06/23/1994

Expiration Date

06/30/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006