MAITRI M VIJAYENDRA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040092

License Status

CANCELLED

Business

First Name

MAITRI

Middle

Last Name

VIJAYENDRA

Business Name

MAITRI M VIJAYENDRA

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006