LAKSHMI BANGALORE VATSAN SRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131721

License Status

NOT RENEWED

Business

Title

First Name

LAKSHMI

Last Name

BANGALORE VATSAN SRI

Business Name

LAKSHMI BANGALORE VATSAN SRI MD

Original Issue Date

11/13/2012

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

KENILWORTH

State

Zip

60043

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017