SARATH KUMAR JAGANATHAN JAISHANKAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075502

License Status

CANCELLED

Business

Title

First Name

SARATH KUMAR

Last Name

JAGANATHAN JAISHANKAR

Business Name

SARATH KUMAR JAGANATHAN JAISHANKAR MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/20/2023