JAINI MEHUL SUTARIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

JAINI

Middle

MEHUL

Last Name

SUTARIA

Business Name

JAINI MEHUL SUTARIA MD

Original Issue Date

01/24/2014

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017