VIJAY KUMAR N CHENNAMCHETTYJAYAPRAKASH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114597

License Status

INACTIVE

Business

First Name

VIJAY KUMAR

Middle

Last Name

CHENNAMCHETTYJAYAPRAKASH

Suffix

Business Name

VIJAY KUMAR N CHENNAMCHETTYJAYAPRAKASH MD

Original Issue Date

09/14/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HEBER

State

Zip

92249

Ever Disciplined

LastModifiedDate

04/17/2008