NUTAN A ATRE-VAIDYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017216

License Status

EXPIRED

Business

First Name

NUTAN

Middle

Last Name

ATRE-VAIDYA

Suffix

Business Name

NUTAN A ATRE-VAIDYA MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

02/11/2009