VAISHAK A AMBLEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152818

License Status

ACTIVE

Business

Title

First Name

VAISHAK

Middle

Last Name

AMBLEE

Business Name

VAISHAK A AMBLEE MD

Original Issue Date

05/04/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/05/2023