VIJAYA THOTHATHRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030319

License Status

EXPIRED

Business

First Name

VIJAYA

Last Name

THOTHATHRI

Suffix

Business Name

VIJAYA THOTHATHRI MD

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

06/30/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006