NAGARAJA VISHAKANTAIAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033793

License Status

EXPIRED

Business

First Name

NAGARAJA

Last Name

VISHAKANTAIAH

Suffix

Business Name

NAGARAJA VISHAKANTAIAH MD

Original Issue Date

07/13/1995

Effective Date

07/13/1995

Expiration Date

07/11/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006