LATHA B VRITTAMANI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029075

License Status

EXPIRED

Business

First Name

LATHA

Middle

Last Name

VRITTAMANI

Business Name

LATHA B VRITTAMANI

Original Issue Date

07/28/1992

Effective Date

07/28/1992

Expiration Date

07/27/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006