LEENA T DEVARAJ 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

LEENA T

Last Name

DEVARAJ

Suffix

Business Name

LEENA T DEVARAJ MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006