JAI PRAKASH SINGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

JAI

Middle

PRAKASH

Last Name

SINGH

Suffix

Business Name

JAI PRAKASH SINGH MD

Original Issue Date

09/14/1995

Effective Date

09/14/1995

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020