SUMESH SURYAKANT JAIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059874

License Status

CANCELLED

Business

Title

First Name

SUMESH

Middle

SURYAKANT

Last Name

JAIN

Business Name

SUMESH SURYAKANT JAIN MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2014

City

SHERMAN

State

Zip

62684

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/08/2011