ANUPAMA LAKSHMI ANANTH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056638

License Status

CANCELLED

Business

Title

First Name

ANUPAMA

Middle

LAKSHMI

Last Name

ANANTH

Business Name

ANUPAMA LAKSHMI ANANTH DO

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2009