SIVAKUMAR JAIKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

SIVAKUMAR

Last Name

JAIKUMAR

Suffix

Business Name

SIVAKUMAR JAIKUMAR MD

Original Issue Date

07/11/2003

Effective Date

07/11/2003

Expiration Date

07/31/2005

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006