SREENIVASA P VANGARA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027385

License Status

EXPIRED

Business

First Name

SREENIVASA P

Last Name

VANGARA

Business Name

SREENIVASA P VANGARA

Original Issue Date

07/05/1991

Effective Date

07/05/1991

Expiration Date

07/02/1994

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006