PRIYA JIMMY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

PRIYA

Last Name

JIMMY

Business Name

PRIYA JIMMY MD

Original Issue Date

05/09/2017

Effective Date

05/09/2017

Expiration Date

09/30/2020

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021