PARKER KELLY JAIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

PARKER

Middle

KELLY

Last Name

JAIN

Suffix

Business Name

PARKER KELLY JAIN DO

Original Issue Date

08/17/1998

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023