VASANTHA LAKSHMI ANNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123747

License Status

ACTIVE

Business

First Name

VASANTHA

Middle

LAKSHMI

Last Name

ANNE

Suffix

Business Name

VASANTHA LAKSHMI ANNE MD

Original Issue Date

06/16/2009

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

PEORIA

Ever Disciplined

LastModifiedDate

05/13/2023