MARIONETTE S JAYAPRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

MARIONETTE

Middle

Last Name

JAYAPRAKASH

Business Name

MARIONETTE S JAYAPRAKASH MD

Original Issue Date

07/13/2011

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021