DEEKSHA JAIN

Business Entity
NOT RENEWED

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****55

NOT RENEWED

N

DEEKSHA

JAIN

DEEKSHA JAIN

02/28/2023

02/28/2023

03/01/2024

URBANA

IL

61801

CHAMPAIGN

II III IV V

N

02/05/2025