JAISHANKAR JAGADEESAN 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

First Name

JAISHANKAR

Last Name

JAGADEESAN

Business Name

JAISHANKAR JAGADEESAN

Original Issue Date

07/08/1996

Effective Date

07/08/1996

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006