SRINIVASA KRISHN JAYAPRAKASH 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

SRINIVASA KRISHN

Last Name

JAYAPRAKASH

Suffix

Business Name

SRINIVASA KRISHN JAYAPRAKASH MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006