CHATRI VANAGASEM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046381

License Status

INACTIVE

Business

First Name

CHATRI

Last Name

VANAGASEM

Suffix

Business Name

CHATRI VANAGASEM MD

Original Issue Date

08/17/1972

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020