JAYANTA K PAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JAYANTA

Middle

Last Name

PAL

Business Name

JAYANTA K PAL

Original Issue Date

08/16/1999

Effective Date

08/16/1999

Expiration Date

07/31/2002

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006