ARUN KUMAR JAGANNATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

ARUN

Middle

KUMAR

Last Name

JAGANNATHAN

Suffix

Business Name

ARUN KUMAR JAGANNATHAN MD

Original Issue Date

04/17/2008

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023