ARCHANA JASTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077071

License Status

EXPIRED

Business

Title

First Name

ARCHANA

Last Name

JASTI

Business Name

ARCHANA JASTI MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

08/10/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/06/2024