VASANTHAN G NAIDU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052187

License Status

CANCELLED

Business

First Name

VASANTHAN

Middle

Last Name

NAIDU

Suffix

Business Name

VASANTHAN G NAIDU MD

Original Issue Date

11/13/2006

Effective Date

11/13/2006

Expiration Date

11/12/2009

City

CHAMPAIGN

State

Zip

61821

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2006