JAI ROBERT KUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

JAI

Middle

ROBERT

Last Name

KUMAR

Suffix

Business Name

JAI ROBERT KUMAR MD

Original Issue Date

09/09/1998

Effective Date

09/09/1998

Expiration Date

07/31/1999

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006