MANASA JASTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074244

License Status

EXPIRED

Business

Title

First Name

MANASA

Last Name

JASTI

Business Name

MANASA JASTI MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022