MALLESWARI S VANGARA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092290

License Status

NOT RENEWED

Business

First Name

MALLESWARI S

Last Name

VANGARA

Business Name

MALLESWARI S VANGARA

Original Issue Date

01/09/1996

Effective Date

01/09/1996

Expiration Date

07/31/1999

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006