DHANALAKSHMI S NAMASIVAYAM - Medical Doctor License in Wisconsin | # 130000654

DHANALAKSHMI S NAMASIVAYAM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000654

License Status

EXPIRED

Business

N

First Name

DHANALAKSHMI

Middle

S

Last Name

NAMASIVAYAM

Business Name

DHANALAKSHMI S NAMASIVAYAM

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

07/31/2005

State

WI

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/25/2006