JAYANTHI R SMUCKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035405

License Status

EXPIRED

Business

First Name

JAYANTHI

Middle

Last Name

SMUCKER

Suffix

Business Name

JAYANTHI R SMUCKER MD

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

07/15/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006