PRATHIMA KUMARI JASTHI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064166

License Status

CANCELLED

Business

Title

First Name

PRATHIMA

Middle

KUMARI

Last Name

JASTHI

Business Name

PRATHIMA KUMARI JASTHI MD

Original Issue Date

06/28/2013

Effective Date

06/28/2013

Expiration Date

06/27/2015

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014