VISHNU B NUTAKKI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089533

License Status

INACTIVE

Business

First Name

VISHNU B

Last Name

NUTAKKI

Business Name

VISHNU B NUTAKKI

Original Issue Date

08/25/1994

Effective Date

08/25/1994

Expiration Date

07/31/1996

City

WESTMONT

State

Zip

60559

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006