JAYANT NATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

JAYANT

Last Name

NATH

Suffix

Business Name

JAYANT NATH MD

Original Issue Date

07/14/1997

Effective Date

07/14/1997

Expiration Date

07/31/2002

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006