VIJAY KUMAR KRISHNAMOORTHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109462

License Status

NOT RENEWED

Business

First Name

VIJAY

Middle

KUMAR

Last Name

KRISHNAMOORTHY

Suffix

Business Name

VIJAY KUMAR KRISHNAMOORTHY MD

Original Issue Date

06/18/2003

Effective Date

06/18/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006