SARATH KUMAR JAGANATHAN JAISHANKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

SARATH KUMAR

Last Name

JAGANATHAN JAISHANKAR

Business Name

SARATH KUMAR JAGANATHAN JAISHANKAR MD

Original Issue Date

02/08/2024

Effective Date

02/08/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2024