ASAMONJA KUMAR ROY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

ASAMONJA

Middle

KUMAR

Last Name

ROY

Business Name

ASAMONJA KUMAR ROY MD

Original Issue Date

01/01/1997

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017