NEIL CLAY RAJANNA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055455

License Status

CANCELLED

Business

Title

First Name

NEIL

Middle

CLAY

Last Name

RAJANNA

Business Name

NEIL CLAY RAJANNA MD

Original Issue Date

06/27/2008

Effective Date

06/27/2008

Expiration Date

06/26/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/02/2008