VIJAYA THOTHATHRI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092090

License Status

ACTIVE

Business

First Name

VIJAYA

Last Name

THOTHATHRI

Suffix

Business Name

VIJAYA THOTHATHRI MD

Original Issue Date

10/18/1995

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/19/2025