VISHNU B NUTAKKI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029054

License Status

EXPIRED

Business

First Name

VISHNU B

Last Name

NUTAKKI

Business Name

VISHNU B NUTAKKI

Original Issue Date

07/21/1992

Effective Date

07/21/1992

Expiration Date

07/19/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006