JYOTHSNA IYENGAR HEREK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JYOTHSNA

Middle

IYENGAR

Last Name

HEREK

Suffix

Business Name

JYOTHSNA IYENGAR HEREK MD

Original Issue Date

05/31/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011