VATHSALA S SASTRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022589

License Status

EXPIRED

Business

First Name

VATHSALA

Middle

Last Name

SASTRY

Business Name

VATHSALA S SASTRY

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

04/14/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006