JAYA ASIRVATHAM 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

First Name

JAYA

Last Name

ASIRVATHAM

Suffix

Business Name

JAYA ASIRVATHAM MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006