TALAT HAYAT RAJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

TALAT

Middle

HAYAT

Last Name

RAJA

Business Name

TALAT HAYAT RAJA MD

Original Issue Date

11/22/2017

Effective Date

11/22/2017

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021