DEVARAJAN JYOTHISH MANU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057303

License Status

EXPIRED

Business

First Name

DEVARAJAN

Middle

JYOTHISH

Last Name

MANU

Suffix

Business Name

DEVARAJAN JYOTHISH MANU MD

Original Issue Date

01/15/2010

Effective Date

01/15/2010

Expiration Date

01/14/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

03/24/2011