KANDASWAMY JAYARAJ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

KANDASWAMY

Last Name

JAYARAJ

Suffix

Business Name

KANDASWAMY JAYARAJ MD

Original Issue Date

02/10/1998

Effective Date

02/10/1998

Expiration Date

07/31/1999

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006