VASANTH MADHAV SURATH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049697

License Status

INACTIVE

Business

First Name

VASANTH MADHAV

Last Name

SURATH

Suffix

Business Name

VASANTH MADHAV SURATH MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006