VIVEK JAIN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038735

License Status

CANCELLED

Business

First Name

VIVEK

Last Name

JAIN

Business Name

VIVEK JAIN

Original Issue Date

07/13/1998

Effective Date

07/13/1998

Expiration Date

07/12/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006