NEERU A JAYANTHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

NEERU

Middle

Last Name

JAYANTHI

Business Name

NEERU A JAYANTHI

Original Issue Date

02/19/2003

Effective Date

02/19/2003

Expiration Date

07/31/2005

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017