MAHESH R BAJAJ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MAHESH R

Last Name

BAJAJ

Business Name

MAHESH R BAJAJ

Original Issue Date

03/11/1996

Effective Date

03/11/1996

Expiration Date

07/31/1999

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006