MAHESH R BAJAJ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MAHESH R

Last Name

BAJAJ

Business Name

MAHESH R BAJAJ

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

07/31/1999

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006