JAI KUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

JAI

Last Name

KUMAR

Suffix

Business Name

JAI KUMAR MD

Original Issue Date

05/22/1989

Effective Date

05/22/1989

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008