VIDHYALAKSHMI VENUGOPAL JAISHANKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110214

License Status

NOT RENEWED

Business

First Name

VIDHYALAKSHMI

Middle

VENUGOPAL

Last Name

JAISHANKAR

Suffix

Business Name

VIDHYALAKSHMI VENUGOPAL JAISHANKAR MD

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

07/31/2005

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/24/2014