JANANDANA K JEGANMOHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050264

License Status

CANCELLED

Business

First Name

JANANDANA

Middle

Last Name

JEGANMOHAN

Suffix

Business Name

JANANDANA K JEGANMOHAN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHANNAHON

State

Zip

60410

County

GRUNDY

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006