MAITRI M VIJAYENDRA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105075

License Status

NOT RENEWED

Business

First Name

MAITRI

Middle

Last Name

VIJAYENDRA

Business Name

MAITRI M VIJAYENDRA

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

07/31/2002

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006