JAY LAZZERINI MATHUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

LAZZERINI

Last Name

MATHUR

Business Name

JAY LAZZERINI MATHUR MD

Original Issue Date

08/02/2018

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023