NAGAMANOHAR JAVVAJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

NAGAMANOHAR

Last Name

JAVVAJI

Suffix

Business Name

NAGAMANOHAR JAVVAJI MD

Original Issue Date

06/30/1989

Effective Date

06/30/1989

Expiration Date

07/31/1996

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006