AMRUTA SURENDRA JAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

AMRUTA

Middle

SURENDRA

Last Name

JAJU

Business Name

AMRUTA SURENDRA JAJU MD

Original Issue Date

09/12/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021