AJAY LAXMANDAS JEETWANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056932

License Status

CANCELLED

Business

Title

First Name

AJAY

Middle

LAXMANDAS

Last Name

JEETWANI

Business Name

AJAY LAXMANDAS JEETWANI MD

Original Issue Date

06/26/2009

Effective Date

06/26/2009

Expiration Date

06/25/2012

City

SPRINGFIELD

State

Zip

62712

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

06/12/2009