VANI SUNDARAM MENON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054044

License Status

CANCELLED

Business

Title

First Name

VANI

Middle

SUNDARAM

Last Name

MENON

Business Name

VANI SUNDARAM MENON MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

05/17/2011