MALLESWARI S VANGARA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030345

License Status

EXPIRED

Business

First Name

MALLESWARI S

Last Name

VANGARA

Business Name

MALLESWARI S VANGARA

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

06/30/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006