VASANTH MADHURE VISHWANATH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022104

License Status

EXPIRED

Business

First Name

VASANTH MADHURE

Last Name

VISHWANATH

Suffix

Business Name

VASANTH MADHURE VISHWANATH MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006