DEEPA JEYAKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

DEEPA

Last Name

JEYAKUMAR

Suffix

Business Name

DEEPA JEYAKUMAR MD

Original Issue Date

07/14/2008

Effective Date

07/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011