MADHU G JYOTHINAGARAM MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

INOPERATIVE

Business

First Name

MADHU

Middle

Last Name

JYOTHINAGARAM

Suffix

Business Name

MADHU G JYOTHINAGARAM MD

Original Issue Date

07/06/2001

Effective Date

08/07/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2023