JAYANT MALHOTRA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

INACTIVE

Business

First Name

JAYANT

Last Name

MALHOTRA

Business Name

JAYANT MALHOTRA

Original Issue Date

01/01/1997

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2011