JAYANTHI R SMUCKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098627

License Status

INACTIVE

Business

First Name

JAYANTHI

Middle

Last Name

SMUCKER

Suffix

Business Name

JAYANTHI R SMUCKER MD

Original Issue Date

08/11/1998

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

GRANGER

State

Zip

46530

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/05/2020