JONARDI HANDOKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

JONARDI

Last Name

HANDOKO

Suffix

Business Name

JONARDI HANDOKO MD

Original Issue Date

03/09/1982

Effective Date

03/09/1982

Expiration Date

07/31/1990

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006