AJAY LAXMANDAS JEETWANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

AJAY

Middle

LAXMANDAS

Last Name

JEETWANI

Business Name

AJAY LAXMANDAS JEETWANI MD

Original Issue Date

01/09/2015

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021