DEVEN JAYENDRA UNADKAT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

DEVEN

Middle

JAYENDRA

Last Name

UNADKAT

Business Name

DEVEN JAYENDRA UNADKAT DO

Original Issue Date

02/04/2021

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023