VIDYASAGAR DHARMAPURI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045195

License Status

INACTIVE

Business

First Name

VIDYASAGAR

Last Name

DHARMAPURI

Suffix

Business Name

VIDYASAGAR DHARMAPURI MD

Original Issue Date

02/04/1972

Effective Date

08/10/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/09/2017