JEEVAN R MATHURA JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

CANCELLED

Business

First Name

JEEVAN

Middle

Last Name

MATHURA

Suffix

JR MD

Business Name

JEEVAN R MATHURA JR MD

Original Issue Date

06/19/2002

Effective Date

06/19/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008