LATHA BADDIGAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045418

License Status

EXPIRED

Business

First Name

LATHA

Last Name

BADDIGAM

Suffix

Business Name

LATHA BADDIGAM MD

Original Issue Date

08/13/2002

Effective Date

08/13/2002

Expiration Date

08/12/2005

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/22/2006