JAYA KASTURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

JAYA

Last Name

KASTURI

Suffix

Business Name

JAYA KASTURI MD

Original Issue Date

11/13/1986

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021