JAYA WADHAWAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

JAYA

Last Name

WADHAWAN

Business Name

JAYA WADHAWAN MD

Original Issue Date

04/29/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026