MUDDAMALLE LIVINGSTONE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054275

License Status

INACTIVE

Business

First Name

MUDDAMALLE

Last Name

LIVINGSTONE

Suffix

Business Name

MUDDAMALLE LIVINGSTONE MD

Original Issue Date

03/11/1977

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014