VENKATESH Y ANJAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054946

License Status

CANCELLED

Business

First Name

VENKATESH

Middle

Last Name

ANJAN

Suffix

Business Name

VENKATESH Y ANJAN MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/11/2008