POORNIMA JAYARAMAIAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

POORNIMA

Last Name

JAYARAMAIAH

Suffix

Business Name

POORNIMA JAYARAMAIAH MD

Original Issue Date

07/14/2010

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023