JAYARAMA S SHETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

JAYARAMA S

Last Name

SHETTY

Suffix

Business Name

JAYARAMA S SHETTY MD

Original Issue Date

06/15/1994

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021