EMANUEL L JAVATE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

EMANUEL

Middle

Last Name

JAVATE

Suffix

Business Name

EMANUEL L JAVATE MD

Original Issue Date

08/28/2002

Effective Date

05/22/2008

Expiration Date

07/31/2011

City

DYER

State

Zip

46311

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011