JAYANT MALHOTRA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JAYANT

Last Name

MALHOTRA

Business Name

JAYANT MALHOTRA

Original Issue Date

06/22/1990

Effective Date

06/22/1990

Expiration Date

07/31/2005

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011