JALAJA V PISKA 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

JALAJA

Middle

Last Name

PISKA

Business Name

JALAJA V PISKA MD

Original Issue Date

03/26/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020