JAY N YEPURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

CANCELLED

Business

First Name

JAY

Middle

Last Name

YEPURI

Suffix

Business Name

JAY N YEPURI MD

Original Issue Date

04/11/2007

Effective Date

04/11/2007

Expiration Date

07/31/2008

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008