VITAYA SRIDAMA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014968

License Status

EXPIRED

Business

First Name

VITAYA

Last Name

SRIDAMA

Business Name

VITAYA SRIDAMA

Original Issue Date

08/23/1982

Effective Date

08/23/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006