DEEPIKA JAIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052432

License Status

CANCELLED

Business

Title

First Name

DEEPIKA

Last Name

JAIN

Business Name

DEEPIKA JAIN MD

Original Issue Date

06/16/2007

Effective Date

06/16/2007

Expiration Date

06/15/2010

City

CHICAGO

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/02/2007